Change to HMO Outpatient Clinical Reference Lab Services

Aug. 31, 2020

Effective Sept. 1, 2020, providers can use any in-network clinical laboratory for Blue Advantage HMO^SM, Blue Essentials^SM (including TRS-ActiveCare Primary and TRS-ActiveCare Primary+ participants), Blue Premier^SM and MyBlue Health^SM. There is no longer an exclusive lab for the HMO plans.

HMO physicians and professional providers located in counties on the Reimbursable Lab County List will be reimbursed on a fee-for services basis for the lab services on the Reimbursable Lab Services List if performed in the physician's or professional provider’s office. All other lab services must be sent to a participating lab.

Statewide in-network clinical labs for HMO members include the following as of Sept. 1, 2020:

• Clinical Pathology Laboratory (CPL) - contact CPL at 1-800-595-1275 or visit CPL's website.
• LabCorp - contact LabCorp at 1-888-LAB-CORP or visit LabCorp's website.
• Quest Diagnostics, Inc. - contact Quest at 1-888-277-8772 or visit Quest's website.

Refer to Provider Finder^® for additional participating clinical laboratory providers.

If you have any questions, contact your local Network Management Office location.