Laboratory Benefit Management

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Laboratory Benefit Management

12/15/2022

Starting March 1, 2023, EmblemHealth and ConnectiCare will begin a new collaboration with Avalon Healthcare Solutions (Avalon) to implement a Laboratory Benefit Management (LBM) program. The new Laboratory Benefit Management Payment Integrity Policy details the program components, including impacted laboratory services, tests, and procedures. It also includes a section of anticipated frequently asked questions (FAQs).

The program’s reimbursement policies have been added to our websites and are now available for your review:

Provider Update