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Refer SHBP Members to LabCorp or Quest Laboratories

Our network providers should refer their Horizon Blue Cross Blue Shield of New Jersey patients, or send their specimens, to in-network labs for testing.

It’s important that our State Health Benefit Plan (SHBP) members, who use the Horizon Managed Care Network, use LabCorp® or Quest Diagnostics™ (Quest) laboratories¹ when receiving clinical laboratory services to help keep their out-of-pocket costs low.

Beginning July 1, 2019, SHBP members who use out-of-network laboratories will have their laboratory claims denied and may be responsible for the full cost of the lab services they receive. Out-of-network lab services will no longer be covered.

Members who are admitted to an in-network hospital may have their laboratory services performed at the facility.

Please encourage your SHBP patients to use LabCorp or Quest when they need clinical laboratory services to avoid out-of-network costs. In-network laboratories can be found by using our Doctor & Hospital Finder.

¹Pathology services provided in a hospital setting to members enrolled in Horizon BCBSNJ managed care plans by a practice that participates in the Horizon Managed Care Network are allowed as an exception to the above-described LabCorp/Quest Diagnostics network use requirements.

Quest, Quest Diagnostics, the associated logo, Nichols Institute and all associated Quest Diagnostics marks are the registered trademarks of Quest Diagnostics.
LabCorp and Quest Diagnostics are independent from and not affiliated with Horizon Blue Cross Blue Shield of New Jersey.

Published on: June 6, 2019, 02:21 a.m. ET
Last updated on: April 28, 2021, 06:19 a.m. ET