Policy Updates Medical Policy & Clinical GuidelinesCommercialMedicare AdvantageSeptember 1, 2024

LabCorp: your single-source solution for lab testing needs

  • LabCorp is Anthem's preferred lab, providing broad services including complex diagnostic testing.
  • Non-participating lab referrals, like Quest Diagnostics, may increase member costs and risk legal violations.
  • Anthem members can find LabCorp locations and other participating labs online.

It is important that you refer Anthem members to participating labs. LabCorp is our preferred lab provider and offers a single-source solution to your testing needs. The relationship with LabCorp does not affect network hospital-based lab service providers, contracted pathologists, or contracted independent laboratories. Physicians may continue to refer to all par providers as they have in the past.

Not only does your Anthem agreement obligate you to refer to participating labs where available, but members will only receive their full benefits from participating providers. Referring your patient and our member to a non-participating lab may expose them to greater financial responsibility. As a reminder, Quest Diagnostics is a non-participating laboratory for all lines of business in Colorado.

Unfortunately, there are certain non-participating labs that are offering to waive or cap co‑payments, coinsurance, or deductibles to our members to increase their overall revenue. These practices undermine member benefits and may encourage over-utilization of services.

These billing practices are also questionable in their legality. Such a practice may present violations under state or federal anti-kickback laws and constitute abuse of health insurance under the Colorado criminal code.

For a listing of Anthem participating laboratories, please check our online directory. Go to anthem.com. Choose Select Providers, and Providers Overview. Select Find Resources in Your State and pick Colorado. From the Provider Home tab, select the enter button from the blue box on the left side of the page titled Find Care & Estimate Costs for Doctors Near You (anthem.com/find-care).

Note: When searching for laboratory, pathology, or radiology services, under the field I am looking for a: select Lab/Pathology/Radiology, and then under the field Who specializes in, select Laboratories, Pathology, or Radiology as appropriate for your inquiry.

LabCorp is our preferred lab provider and can provide services that range from routine testing, such as basic blood counts and cholesterol tests, to highly complex diagnosing of genetic conditions, cancers, and other rare diseases. LabCorp has specialized laboratories, which cover the following areas of testing:

  • Allergy program
  • Cancer testing
  • Cardiovascular disease
  • Companion diagnostics
  • Dermatology
  • Diabetes
  • DNA testing
  • Endocrine disorders
  • Esoteric coagulation
  • Gastroenterology
  • Genetic testing
  • Genetic counseling
  • Genomics
  • HLA lab for national marrow donor program
  • Hematopathology
  • Immunology
  • Infectious disease
  • Kidney disease
  • Liver disease
  • Medical drug monitoring
  • Molecular diagnostics
  • Newborn screening
  • Obstetrics/gynecology
  • Oncology
  • Pain management
  • Pathology expertise with a range of subspecialties
  • Pharmacogenomics
  • Preimplantation genetic diagnosis
  • Reproductive health
  • Toxicology
  • Urology
  • Virology
  • Whole exome sequencing
  • Women’s health

Note: This relationship with LabCorp does not affect network hospital-based lab service providers, contracted pathologists, or contracted independent laboratories.

To find a LabCorp location near you, go to labcorp.com or call one of the phone numbers below.

For information about specialized assays or about requirements for special collection kits and specimen handling, call LabCorp at 303-792-2600 or toll-free at 888-LABCORP (888-522-2677).

We are committed to finding solutions that help our care provider partners offer quality services to our members.

Anthem Blue Cross and Blue Shield is the trade name of Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

COBCBS-CRCM-063633-24-SRS63633

PUBLICATIONS: September 2024 Provider Newsletter