New BlueCard Policies Affect Laboratory Test Claims

Many local clinical labs will have less access to the 100 million members of Blue Cross plans

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CEO SUMMARY: This new policy from the Blue Cross and Blue Shield Association (BCBSA) becomes effective on October 14, 2012. No longer can a local lab provide service to a member under the BlueCard program and be paid by the local plan in the region where the service was provided. Some regional BCBS plans have already implemented the new policy. In these regions, labs report significant difficulties in getting claims accepted. Further, some payers are sending the payment for lab tests directly to the patients.

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