Laboratory, pathology and blood procedures

Effective September 1, 2017, we’ll deny pass-through billing for most lab charges from a facility or a non-facility provider. The provider that performs the test must bill for these services. We will pay for pass-through billing during an inpatient hospital admission. We will also pay facilities for pass-through billing for members receiving outpatient services at the facility and for specimen collection that occurs at the facility on the same day as other services.