Remember to refer members to in-network providers, including labs
Participating providers have a contractual obligation to use in-network providers when referring our members for services.
A significant number of contracted providers refer members to out-of-network laboratories. This puts members at risk of having to pay higher costs. When tests are available at in-network labs, these additional costs are unnecessary.
Make sure you're following your provider contract and requirements and responsibilities located in our provider manual to refer members to in-network labs.
If you're unsure if labs are in-network, use our Find a Doctor tool on priorityhealth.com to find labs that are in-network for your patient’s unique plan.
We're always here to help
If you have questions about finding an in-network lab for your patients' care, contact the Provider Helpline at 800.942.4765.