Use in-network laboratories for toxicology, drug-of-abuse testing

Providers affiliated with Blue Cross Blue Shield of Michigan and Blue Care Network have a contractual obligation to use in-network providers when referring our members for services. This includes referring members for toxicology and drug-of-abuse testing services. And, this applies for members covered by all Blue Cross and BCN products:

• Blue Cross PPO
• Blue Cross Medicare Plus Blue^SM PPO
• BCN HMO^SM
• BCN Advantage^SM

A significant number of contracted providers refer members to out-of-network laboratories. This puts members at risk of having to pay higher costs. Since the tests are available at in-network labs, these costs are unnecessary. Please follow the conditions of your provider agreement and the directions in our provider manuals, which require you to refer these members to in-network labs.

Our goal is to:

• Give your patients convenient access to high-quality, cost-efficient toxicology testing services that properly meet their clinical needs.
• Help our members avoid higher copayments and other out-of-pocket costs that may result from using out-of-network labs.

Confirm which labs are in-network or out-of-network with these resources

Blue Cross PPO

For salaried employees covered through Ford, General Motors and the Michigan Public School Employees' Retirement System, call: Quest Diagnostics^TM – 1-866-697-8378.

For all other Blue Cross PPO members, use the Blue Cross online provider directory.

Blue Cross Medicare Plus Blue PPO

Call either of the following resources:

• Joint Venture Hospital Laboratories – 1-800-445-4979
• Quest Diagnostics – 1-866-697-8378

BCN HMO and BCN Advantage

Call Joint Venture Hospital Laboratories at 1-800-445-4979.

Need more help?

If you need more help locating an in-network lab or want to discuss specific lab testing needs you may have, please call one of the following Provider Automated Response System numbers during normal business hours:

Blue Cross PPO, BCN HMO or BCN Advantage

• Professional providers in Michigan, call 1-800-344-8525.
• Facility providers in Michigan, call 1-800-249-5103.

Blue Cross Medicare Plus Blue PPO

Call 1-866-309-1719.

After confirming member benefits using the automated system, you can speak to someone in Provider Inquiry to get help finding an in-network lab.

Posted: September 2018
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network