APPROVED PRIMARYINSURANCE PAYER LIST

JULY 2018

NOTES: Understanding Self-Pay Practices – Page 3

AARP YesAETNA YesAlignment Healthcare Yes Prefix only XJCH - AlignmentAllwell Sunshine Health NO LabCorp/QuestAmbetter Sunshine Health NO LabCorp/QuestAmerican Postal Workers Union Health Plan (APWU) YesAssurant Health YesAvMed for CLS counties served: Clay, Duval, Nassau and St. John’s Yes CLS accepts counties: Clay, Duval,

Nassau, St. John’s ONLYAvMed for Quest counties served:Quest counties: Baker, Bradford, Flagler & Putnam

NO Quest: Baker, Bradford, Flagler & Putnam counties

Bankers Life & Casualty YesBCBS Plans with a plan number beginning with the letters XJCH as a prefix only.

YesXJCHONLY

XJCH prefix only. This is BCBS Alignment. Cards no longer say the word Alignment.

BCBS Outside the State of Florida – PPO Only. (State may be listed on front OR back of card, or both. Ex: Illinois is listed on the back.) If BCBS of FLORIDA PPO/HMO – must go to QUEST.

Yes OUT of STATE ONLY

Only for outside the State of FL PPO do we accept, otherwise send to Quest.

BCBS Federal Employees Government Wide (Group # = FEP) Yes Policy # begins with the letter R.BCBS SmartHealth (St. Vincent’s/Ascension Associates) Yes (Prefixes: ASY/ IOI/IOJ) CLS ONLYBCBS Plans of Florida (FL BLUE) See above for limited plans accepted.Medicare Advantage Plans for BCBS – Read explanation under Medicare Advantage

NO Quest - ALL FL PLANS

BeechStreet PPO YesCareLink HMO (A Coventry Health Care Plan) Yes card reads HMO CLKCHAMPVA YesCIGNA Indemnity YesCIGNA Medicare Access YesCIGNA Insurance Plans (except as noted above) NO QuestCompanion Life/Health NO Website unclear, but seems this is

not insurance, but discount plan.Coventry Health Care Yes All plans acceptedDefinity PPO/Definity Choice Plus (United Health Care Plan) YesFirst Health Network YesFlorida Healthy Kids (United Health Care Plan) YesFreedom Health (Medicare HMO) NO QuestGEHA - Government Employees Hospital Association, Inc. (1st Health) YesGHI NO Quest Golden Rule (United Health Care) YesHealth Advantage PPO YesHealth Net YesHealth Smart (NOT the same as SmartHealth) YesHumana Military Tricare YesHumana Insurance Plans (except for Tricare) NO LabCorp/QuestLab Card NO Quest Magellan Complete YesMail Handlers YesManaged Care of America (MCA Administrators) YesMayo Medical/MMSI YesMedicaid Yes FL and GA ONLY

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APPROVED PRIMARYINSURANCE PAYER LIST

JULY 2018

NOTES: Understanding Self-Pay Practices – Page 3

Medicaid – First Coast Advantage NO LabCorp/UF Outreach LabMedicaid – Healthease NO QuestMedicaid – Molina NO QuestMedicaid – Preferred Medical Plan NO QuestMedicaid – Prestige Health Choice NO QuestMedicaid – Universal Health Care NO QuestMedicare Advantage Plans (Not the same as regular Medicare) Many of these plans are PRIMARY, not regular Medicare – See BCBS section on policy number of BCBS Plans CLS accepts. It is very limited.

NOQuest/LabCorp – If in doubt, send to Quest for Medicare Advantage Plans.

Medicare - Care Plus HMO (Not a Coventry plan) NO LabCorpMedicare - Well Care NO QuestMedicare YesMedicare Complete Choice YesMedicare Railroad YesMeritain Health YesMolina NO QuestMultiplan, Inc. YesOne Health Plan NO LabCorpOptimum Choice/Choice Preferred NO LabCorp/QuestPed-I-Care (Pediatric Integrated Care Systems) YesPreferred Health Network YesPositive Healthcare (PHP) NO LabCorpPrivate Health Care System (PHCS) YesQuality Health Plans NO LabCorpSeafarers Welfare Plan YesSecure Horizons (United Health Care) YesSecure Horizons Medicare Direct YesSmartHealth (St. Vincent’s/Ascension Associates) Yes ASY/IOI/IOJ = CLS ONLYStaywell Health Plans NO QuestSterling Health Plans Option 1 - Private Fee For Service YesSterling Health Plans Premier & Select Medicare Supplement Plans NO Check Member Card for labSunshine State Health Plan (Sunshine Health) (FL Medicaid HMO) Yes Medicaid ONLYSunshine State (Sunshine Health) Medicare Advantage Plans NO LabCorp/QuestTRICARE (Extra, Prime and Standard) YesUnited Health Care Plans YesUnited Medical Resource YesVeteran’s Administration YesVeteran’s Choice Program YesWausau Insurance YesWell Care HMO NO QuestWellMed YesWorkers Compensation ++ Yes

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APPROVED PRIMARYINSURANCE PAYER LIST

JULY 2018

NOTES: Understanding Self-Pay Practices – Page 3

Important Notations: BCBS Plans of FLORIDA –BCBS patients are being told that CLS is a provider for their plans. After careful consideration with many

patients receiving bills due to coverage being denied, CLS has determined that a better business practice will be to accept only the plans for which we know coverage will not be denied. CLS does not accept the same plans as St. Vincent’s Healthcare, even though we are a department of the Health System. If patient is adamant to have their specimens collected by CLS, a BCBS “disclaimer” can be signed by the patient at the Patient Service Center stating they are aware of the charges forthcoming and understand that CLS will not write their balance off once the bill is received. Disclaimer is kept on file for future reference.

Some insurance plans incorporate other “discount plans” under their plan name; example: Cigna Multiplan – CLS can’t take this under this scenario, but the main insurance plan, Multiplan is a plan we accept.

Consolidated Laboratory Services accepts all private insurance plans and can only file with insurance plans for which we are a provider.

Out-of-Network – CLS can accept out-of-network insurance, however, patients will be subject to a higher co-payment and/or deductible. It is best practice that patient goes to the preferred lab indicated due to the higher out of pocket expenses associated with going out-of-network. CLS may not be responsible for writing off claim balances.

Aurora Diagnostics/Laboratory (formerly Bernhardt Labs) must take specimens intended for CLS directly to the main lab at St. Vincent’s Riverside for processing. MedSpeed not responsible for these specimens.

CLS insurance list is compiled and distributed every month as a courtesy to our clients and is subject to change without notice.

++ Worker’s Compensation claim information needed to bill. Include accident date, employers name, telephone number and claim number, diagnosis. If INCOMPLETE information is received,

CLS will bill the patient for services rendered.

SELF-PAY PATIENT PRICING: Patient is collected at a CLS Patient Service Center, paying at the time of service receiving the full discounted prices. (Cash is not an

accepted form of payment) Physician office collects patient specimens, writes self-pay on the test requisition, the patient will be billed at the full price. This is

not a true self-pay practice for CLS. If patient calls our billing partner, McKesson, after receiving the non-discounted bill and agrees to pay in full at that time, patient can receive the self-pay discount. If not, payment arrangements can be made with McKesson.

Bill Client – Physician office writes bill client on the test request form. Sign and print the authorizing staff member giving CLS the authority to bill your account. Your office will receive a billing statement at the end of the month for the specified charges you approved. If not approved, patient will be billed the non-discounted price.

Consultation between patient and physician should occur prior to collection if cost is a factor. Not all tests are discountable.

CONSOLIDATED LABORATORY SERVICES INFORMATION REFERENCE GUIDEFor all your Customer Service needs, call 904-308-5600 press the option that best suits your needs:

FAX NUMBERS: (904) ………………………….

1 - Dispatch; Specimen pickup (routed to MedSpeed 331-209-6130) Administration/Sales-Service/Call Center 296-1589 2 - Obtain results/other customer service information 3 – McKesson – All Billing inquiries. Phone # 1-888-258-9186 4 - Client Supply Voice Mail Box – Order test request forms/supplies Website: ………………………… www.conlabs.com 5 - Administration/4Medica Assistance/Attorney-legal instructions

Bill Payment Address: Consolidated Laboratory ServicesP.O. Box 865234Orlando, FL 32886-5234

Client account changes/new client Informational documents Patient service center information Test Requirements - New feature!

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