CommercialMedicare AdvantageNovember 1, 2022
Participating lab referrals help our members most
This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem) in Colorado.
This is a reminder for you to refer Anthem members to participating labs whenever possible. Referring Anthem members to a nonparticipating lab may expose them to a greater financial responsibility. LabCorp* is our preferred lab provider and is a single-source solution for your testing requirements. LabCorp referrals do not affect network hospital-based lab service providers, contracted pathologists, or contracted independent laboratories. Physicians can continue to refer to all participating lab providers as they have in the past.
In your Anthem Agreement you agreed to refer Anthem members to participating labs when available. This is important because members will only receive their full benefits from participating lab providers. As a reminder, Quest Diagnostics* is a nonparticipating laboratory for all lines of business in Colorado.
There are certain nonparticipating labs offering to waive or cap co-payments, coinsurance, or deductibles for our members.
These practices undermine member benefits and represent questionable billing practices. Referring to LabCorp assures our members their lab costs will be covered under their benefit terms.
For a listing of Anthem participating laboratories, please check our online directory. Go to https://www.anthem.com, select For Providers, and select Go To Providers Overview. From here, select Find Resources in Your State, and choose Colorado. From the Provider Home tab, select the enter button from the blue box on the right side of page titled 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 capable of providing 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:
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To find a LabCorp location near you, go to https://www.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).
* LabCorp and Quest Diagnostics are independent companies providing laboratory services on behalf Anthem Blue Cross and Blue Shield.
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-005940-22-SRS5940, COBCBS-CRCM-049184-24
PUBLICATIONS: November 2022 Anthem Provider News - Colorado, February 2024 Provider Newsletter
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