APPROVED INSURANCE LIST JANUARY 2015 Notes: AvMed: Continuing to be a provider for the counties listed below Add: Molina Medicaid– Quest AARP AARP/MedicareComplete Choice Plan 2 (Regional PPO) United Health Care AARP/MedicareComplete Essential (Regional PPO) United Health Care Aetna American Postal Workers Union Health Plan (APWU) Anthem BCBS (unless card states Blue Options, then Quest) Assurant Health Yes Yes Yes Yes Yes Yes Yes AvMed ……………Serving: Clay, Duval, Nassau and St. John’s counties Yes AvMed ……………….Quest counties served: Baker , Bradford , Flager & Putnam Bankers Life & Casualty BCBS PPO BCBS Federal Employees Government Wide BCBS Blue Options PPO BCBS Healthy Kids BCBS HMO BlueCare BCBS PPO (Winn Dixie employees) (WVD – National Policy) BCBS PPO SELECT BCBS, ALL Out of State Plans BCBS, POS Care Manager BCBS, PPO BlueChoice BeechStreet PPO Blue Medicare – PFFS (Blue Cross) (A Medicare Advantage Plan) CareLink HMO (A Coventry Health Care Plan)- card reads HMO CLK CarePlus Medicare HMO CHAMPVA Choice Care (Humana HMO) CIGNA HMO CIGNA Indemnity CIGNA Medicare Access CIGNA Open Access PPO CIGNA PPO (BeechStreet) CIGNA PPO CIGNATURE (CIGNA Medicare) Confederate Admin Services, Inc. (PHCS) Connecticut General Life Insurance Company (PHCS) CoreSource, Inc. NO Yes Yes Yes NO/Yes NO NO NO/Yes NO/Yes Yes Yes Yes Yes NO Yes NO Yes NO NO Yes Yes NO NO/Yes NO/Yes NO/Yes Yes Yes Yes Coventry Health Care – All plans accepted Yes Definity PPO/Definity Choice Plus (United Health Care Plan) First Coast Advantage (Medicaid) First Health Network Florida Blue (BCBS of Florida) see BCBS for determination Florida Health Alliance (except Shands Hospital employees) Florida Healthy Kids (United Health Care Plan) Freedom Health (Medicare HMO) GEHA - Government Employees Hospital Association, Inc. (1st Health) GHI Go Blue PPO (Limited Health Benefits Plan) Golden Rule (United Health Care) Health Advantage PPO Yes NO Yes N/A Yes Yes NO Yes NO Quest Quest/Out-of-Network* Quest Quest Quest/Out-of-Network* Quest/Out-of-Network* Quest Consolidated Laboratory LabCorp LabCorp Quest Quest Quest / Out-of-Network* Quest / Out-of-Network* Quest / Out-of-Network* LabCorp/UF Outreach Lab See BCBS, above Quest Quest or St. Johns Biomed Yes Yes Yes Page 1 APPROVED INSURANCE LIST JANUARY 2015 Notes: AvMed: Continuing to be a provider for the counties listed below Add: Molina Medicaid– Quest Health Net Health Discount Cards Health Options – BlueCare HMO Health Options – Healthy Kids Health Options Care Manager POS Healthease Medicaid Health Smart (not the same as SmartHealth) Healthy Kids (United Health Care Plan) Humana Gold Plus HMO Humana Gold Choice PPO Humana HMO Humana HMO Choice Care Humana Inc. PPO (Red stripe card only – PHCS network) Humana PPO Mail Handlers – The First Health Network Managed Care of America (MCA Administrators) Mayo Medical/MMSI Medica Choice with United Health Care Choice Plus Medicaid / Medipass Medicaid – Healthease Medicaid – Preferred Medical Plan Medicaid (United Health Care) Medicaid – (Universal Health Care) Medicare Medicare - Care Plus HMO (Not a Coventry plan) Medicare Complete Choice Plan 2 (Regional PPO) Medicare Complete Choice Essential (Regional PPO) Medicare Complete Choice (HMO) ( United Health Care) Medicare Complete Plus (HMO) (United Health Care) Medicare Coventry Health Care - Summit Max (HMO SNP/Ideal) Medicare Humana PPO Medicare Humana HMO Medicare – Railroad Molina Medicaid Multiplan, Inc. One Health Plan Optimum Choice/Choice Preferred (Medicare HMO must go to Quest/LabCorp) Options PPO (United Healthare Care Plan) Ped-I-Care (Pediatric Integrated Care Systems) Preferred Health Network, Inc. Preferred Medical Plan – Medicaid Principal Life Insurance (PHCS) Principal PHCS Network Prestige Health Choice (Medicaid Insurance) Private Health Care System (PHCS) Quality Health Plans Railroad – Medicare Seafarers Welfare Plan Secure Horizons (United Health Care) Yes Yes NO NO Yes NO Yes Yes NO Yes NO NO Yes NO/Yes NO/Yes Yes Yes Yes Yes NO NO Yes NO Yes NO Yes Yes Yes Yes Yes Yes NO Yes NO Yes NO NO Yes Yes Yes NO Yes Yes NO Yes NO Yes Yes Yes Write all info like regular insurance card Quest Quest Quest LabCorp/Quest LabCorp/Quest LabCorp/Quest LabCorp/Out-of-Network*/Quest Quest/Out-of-Network* Quest Quest Quest LabCorp LabCorp Quest LabCorp Quest, LabCorp Quest Quest LabCorp Page 2 APPROVED INSURANCE LIST JANUARY 2015 Notes: AvMed: Continuing to be a provider for the counties listed below Add: Molina Medicaid– Quest Secure Horizons Medicare Direct (may have United Health Care logo) SmartHealth (Associates of St. Vincent’s Medical Center ) Staywell Health Plans Sterling Health Plans Option 1 - Private Fee For Service Sterling Health Plans Premier Medicare Supplement Sterling Health Plans Select Medicare Supplement Sunshine State Health Plan TRICARE (Extra, Prime and Standard) Trustmark (Benefit Trust Life) (PHCS) Unicare (PHCS) United Health Care Plans (ALL PLANS ACCEPTED) United Health One (United Health Care Plan) United Medical Resource - UMR (PHCS) United Provider Services-Diversified Group Administrators Universal Health Care (Medicaid) Veteran’s Administration Wausau Insurance Well Care HMO Well Care Medicare Workers Compensation ++ Yes Yes NO Yes NO NO Yes Yes Yes Yes Yes Yes Yes Yes NO Yes Yes NO NO Yes Consolidated Laboratory ONLY Quest Check Member Card Check Member Card Quest Quest Quest Consolidated Laboratory Services accepts all private insurance plans Consolidated Laboratory Services can only file with insurance plans for which we are a provider. If you have sent us a patient’s orders in error, immediately contact our Customer Call Center – 904/308-5600, option number 3, “Billing” to speak with a customer service representative, otherwise, the patient will be billed for services rendered. * Out-of-Network >>> Consolidated Laboratory is an out-of-network provider. Patients may be subject to a higher co-payment as well as a deductible. ++ Worker’s Compensation claim information needed to bill. This includes accident date, employers name, telephone number and claim number. Diagnosis Codes are required to complete the billing process. If complete information is not obtained, the patient will be billed for services rendered. Important Notations: 1) CLS insurance list is compiled as a courtesy to our clients and is subject to change without notice. 2) Bernhardt Laboratories must take specimens intended for Consolidated Laboratory directly to the main lab at St. Vincent’s –Riverside for processing. Dispatch/MedSpeed is not responsible for the transportation of these specimens. CONSOLIDATED LABORATORY SERVICES TELEPHONE REFERENCE GUIDE For all your Customer Service needs, call 904-308-5600 press the option that best suits your needs: 1 - Dispatch; Specimen pickup (routed to MedSpeed) 2 - Obtain results/other customer service information 3 - Patient Billing Inquiries/Patient test prices 4 - Client Supply Voice Mail Box – Order test request forms/supplies 5 – Administration/4Medica Assistance/Attorney-legal assistance FAX NUMBERS: (904) …………………………. Administration/Sales-Service Billing Customer Call Center 296-1589 296-5703 296-1576 Page 3
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