Laboratory services protocol
Governs how participating outpatient commercial laboratories provide and bill laboratory services for UnitedHealthcare members covered under MD.IPA, MD: IPA Preferred, Optimum Choice and Optimum Choice Preferred (Mid-Atlantic Health Plan) including exceptions and certain diagnosis-based reimbursement rules.
No material clinical or coverage changes in this revision.
Coverage Criteria for Outpatient Laboratory Services
Exceptions
Exceptions to requirement that participating outpatient commercial laboratory perform labs ordered by PCP or specialists:
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