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 HMOSM, Blue EssentialsSM (including TRS-ActiveCare Primary and TRS-ActiveCare Primary+ participants), Blue PremierSM and MyBlue HealthSM. 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.