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Blue Cross Medicare Advantage PPO Lab Guidelines

June 30, 2017

Quest Diagnostics, Inc., Clinical Pathology Laboratory (CPL) and Lab Corp, Inc. are the preferred outpatient clinical reference laboratory providers for Blue Cross Medicare Advantage PPO members.

Note:This arrangement excludes lab services provided during emergency room visits, inpatient admissions and outpatient day surgeries (hospital and free standing ambulatory surgery centers).

For locations or questions contact:

As previously indicated, if lab services are performed at the participating physician's or other professional provider's office, the physician or professional provider may bill for the lab services. However, if the physician's or other professional provider's office sends the lab specimens to a contracted lab for completion, only the contracted lab can bill Blue Cross Medicare Advantage (PPO) for the lab services.