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UnitedHealthcare's Laboratory Benefit Management Program Delayed Until Further Notice for Texas

UnitedHealthcare (UHC) has delayed the expansion of the Beacon Laboratory Benefits Solutions® (Beacon LBS) program to Texas planned for March 1, 2017. Voluntary participation began in Texas on January 1, 2017, but the claims "impact" or possible denial of laboratory services for reasons beyond the laboratories' control scheduled to take effect March 1 will be delayed until further notice. UHC will provide 90 days' notice prior to any implementation. Although the claims impact/mandatory participation will be delayed, UHC has conveyed that network physicians may continue to access the Beacon LBS Physician Decision Support tool and encourages its use. The program applies to fully insured UHC Commercial members in Texas and was piloted in Florida beginning October 1, 2014 with mandatory compliance delayed until April 15, 2015. Numerous stakeholders including the College of American Pathologists (CAP) had requested a retraction and/or delay in Florida. UHC will provide written notice of the delay to its network on or about February 1, 2017.


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INDUSTRY NEWS TAGS: UnitedHealthcare


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