Humana's Your Practice

Humana Expands Laboratory
Options for Providers, Members

While many of Humana’s competitors are signing exclusive deals with one national laboratory services provider, Humana remains committed to providing choices for its members and providers. In fact, Humana’s network of participating outpatient clinical laboratories has recently expanded to include both Laboratory Corporation of America (LabCorp) and Quest Diagnostics for all Humana plans and products nationwide. As a result, providers can now utilize the services offered by LabCorp and Quest Diagnostics, offering Humana members more choices among leading providers of laboratory and testing services.

In Texas, providers and members may also choose Sonic/Clinical Pathology Laboratories (CPL).

Use the following contact information to locate a lab near you:

LabCorp – www.labcorp.com or 1-888-LABCORP (1-888-522-2677)

Quest Diagnostics – www.questdiagnostics.com or 1-888-889-3691

Sonic/CPL (Texas only) – www.cpllabs.com or 1-800-595-1275

For Humana members choosing to use Quest Diagnostics, appointments for visits to a Quest Diagnostics Patient Service Center (PSC) can be made by visiting www.questdiagnostics.com/appointment or by calling the interactive voice response system at (888) 277-8772. In addition to allowing members to schedule the time of their appointment, the Quest Diagnostics Appointment Scheduling System reminds them to bring the required insurance verification and physicians’ orders and advises on an appropriate fasting schedule, if applicable. Walk-in patients are welcome.

HIPAA Transaction Standards Alert: Standard Patient Information Required for Laboratory Services Claims

The HIPAA Transaction and Code Sets Rule standardized the format of electronic health care claims. When providers complete laboratory requisitions, the document must include the required billing information listed below in order to meet the requirements of the HIPAA transaction standards. This information will help the timely filing of claims and reduce requests for additional information.

Required Billing Information for all Laboratory Service Requisitions:

Patient name
Subscriber’s ID number (listed on ID card)
Patient gender
Patient date of birth
Subscriber or responsible party’s name and address
Patient relationship to subscriber
Diagnosis code(s) for date of service*
Ordering physician name and unique provider identification number (UPIN)/National Provider Identifier (NPI)

*The highest level of specificity is required