Office of Managed Care Operations

LABORATORY SERVICES

HMO REQUIREMENTS FOR OUT PATIENT LAB PROCEDURES

Revised August 2008

MANAGED CARE ORGANIZATION

LAB SERVICES CAN BE DONE AT UMDNJ

 

AUTHORIZED LAB FACILITY

 

PRE ADMISSION TESTING CAN BE DONE

AETNA

NO


QUEST DIAGNOSTICS

Script Required

YES

 

AMERIGROUP

 

NO


LABCORP

Script Required  

YES

AMERICHOICE 

NO


LABCORP

Script Required

YES

AMERIHEALTH INSURANCE OF NJ 

TO BE DETERMINED Must Contact Insurance Carrier for Location
800-821-9412 (HMO)

800-595-3627 (PPO)

TO BE DETERMINED Must Contact Insurance Carrier for Location
800-821-9412 (HMO)

800-595-3627 (PPO)

 

YES

EMPIRE BLUE CROSS & BLUE SHIELD

NO


QUEST DIAGNOSTICS

Script Required

 

Yes

HEALTHNET                    (formerly PHS)

NO


QUEST DIAGNOSTICS

Script Required

YES

HORIZON BLUE CROSS & BLUE SHIELD

TO BE DETERMINED Must Contact Insurance Carrier for Location
888-666-2535

FOR BLUE CARD CONTACT
800-676-2583

TO BE DETERMINED Must Contact Insurance Carrier for Location


LABCORP

Script Required

YES

HORIZON NJ HEALTH

NO


LABCORP

Script Required

YES

 

QUALCARE

NO

Lab Corp

OR
Quest Diagnostics

Script Required


YES

UNIVERSITY HEALTH PLAN

Yes

Script Required

YES

Script Required

YES

WELLCHOICE

NO

QUEST
DIAGNOSTICS

Script Required

YES

**Great West Health Care Contract Terminated with University Hospital June 29, 2008 

HMO Requirements for Outpatient Lab Procedures By Plan
Flowchart
Quick Reference Guide
 
Labcorp
Quest
Smith Kline Beecham

 

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Last Reviewed: August 2008
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Newark, NJ 07103 USA
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