Non-participating lab referrals
Not only does your Anthem agreement obligate you to refer to participating labs where available, but members will only receive their full benefits when receiving services from participating providers. As a result, referring your patient/our member to a non-participating lab may expose them to a greater financial responsibility.
Unfortunately, there are certain non-participating labs that are offering to waive or cap co-payments, coinsurance or deductibles to our members in order 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.
For a listing of Anthem participating laboratories, please check our online directory at 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 offers a single source solution to your testing needs:
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:
· Allergy program
· Cancer testing
· Cardiovascular disease
· Companion diagnostics
· DNA testing
· Endocrine disorders
· Esoteric coagulation
· Genetic counseling
· Genetic testing
· HLA lab for national marrow donor program
· Infectious disease
· Kidney disease
· Liver disease
· Medical drug monitoring
· Molecular diagnostics
· Newborn screening
· Obstetrics/ Gynecology
· Pain management
· Pathology expertise w/range of subspecialties
· Preimplantation genetic diagnosis
· Reproductive health
· Whole exome sequencing
· Women’s health
Note: This relationship with LabCorp does not affect network hospital-based lab service providers, or contracted pathologists.
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).
December 2021 Anthem Provider News - Nevada