On October 1, 2014, UnitedHealthcare (UHC) will roll out its Laboratory Benefit Management Program in Florida, which will be administered by Beacon Laboratory Benefit Services, Inc. (BeaconLBS), a wholly-owned subsidiary of LabCorp.
BeaconLBS® is a laboratory benefit solutions company that enables health plans, physicians and network labs to connect and deliver high-quality, cost-effective care to patients. BeaconLBS® is distinctive in its approach, offering a fully integrated, solutions-based technology that automates real-time clinical and financial decision-making at the point of care and point of ordering.
UHC states the Laboratory Benefit Management Program (LBMP) is for now only a pilot program and will only apply to outpatient laboratory services for fully-insured UHC Commercial members. Currently there are multiple benefit plans that will be excluded.
We have heard of BeaconLBS before
At that time, however, it is my understanding BeaconLBS was mainly intended to be limited to managing preauthorizations of “expensive genetic and molecular assays”, as The Dark Report explained.
Not just for expensive tests anymore
BeaconLBS, at least the way UHC is using it, is now an absolute beast that will require referring physicians to provide BeaconLBS with advance notification if they want to order any of the 82 tests specified on pages 10-13 of UHC’s Administrative Protocol.