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November 2015

Reminder: determining if out-of-state lab participates with Blue Cross Blue Shield of Michigan

As you’ve read before, independent laboratories must file claims with the Blue Cross plan in the state where the specimen is drawn, which is determined by where the referring (or ordering) physician is located. If you’re thinking of referring a patient to a lab outside of Michigan and want to determine if the lab participates with us, go to bcbsm.com and follow these steps:

  • Click on Find a Doctor.
  • Click on Get Started.
  • Click on I want to find doctors or hospitals.
  • Type in your ZIP code.
  • Using the drop-down menu, select PPO Plans - Group Enrollees.
  • Type in Out-of-State Independent Laboratories.
  • Click on Go.

If you have any questions, contact your provider consultant.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2014 American Medical Association. All rights reserved.