In 2019, Quest Diagnostics will join UnitedHealthcare’s national network of participating laboratory providers to better support members and the care providers who order laboratory services.
LabCorp offers nearly 5,000 frequently requested and specialty tests, including a wide range of clinical, anatomic pathology, genetic and genomic tests, delivered through LabCorp’s broad patient access points, including a growing retail presence.
Quest, which is an in-network lab for a limited number of UnitedHealthcare plans in some markets today, has 6,000 patient access points and will be in-network nationwide for all plan participants beginning Jan. 1, 2019.
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Oxford will consider for reimbursement Telehealth services which are recognized by The Centers for Medicare and Medicaid Services (CMS) and appended with modifiers GT or GQ, as well as services recognized by the AMA included in Appendix P of CPT and appended with modifier 95.
In addition, Oxford recognizes certain additional services which can be effectively performed via Interactive Audio and Video Telecommunications systems; these codes will be considered for reimbursement when reported with modifier GT:
Refer to the policy for:
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