Table of Contents
Search
How Do I...

Search Tips

Table of Contents Search

  • For more specific results, select both a chapter and section.
  • To move from section to section within a chapter, use the left navigation bar.

Keyword Search

  • For best results, select a recommended search term if one appears in the search box.
  • To narrow your search, use the Filter By and Additional Keywords features in the left navigation bar.
  • To find an exact phrase, use quotes (e.g., “prior approval”).
  • To find all search terms, use the word AND in capital letters between search terms.
  • To find at least one search term, use the word OR in capital letters between search terms.
×
  • Directory > Network Laboratory Services

    Quest Diagnostics, Inc. is our preferred, independent free standing laboratory and provides most outpatient clinical services to our members. We also contract with other free-standing independent laboratories for certain specialty tests. In addition, physicians may also use network hospitals that have their own lab and pathology group(s) that are contracted with EmblemHealth. Depending on the member benefit plan, the member may have higher cost sharing when accessing these services through a network hospital. For more information on allowable in-office lab tests, please see the Laboratory Services section of the Care Management chapter.

    Contracted laboratories will provide a collection box and courier service to and from the practitioner's office for specimen collection. If specimens need to be drawn outside of the practitioner's office, members should be directed to the nearest contracted laboratory Patient Service Center and given the requisition form to hand carry. The nearest Quest Diagnostics Patient Service Center may be found by calling 1-800-377-8448.

    EmblemHealth has contracts with laboratories to provide lab services for our EmblemHealth, GHI and HIP plan members. Please use these network laboratories when requesting lab services for our members. All services for out-of-network providers require prior authorization. If you do not have an account with any of our network laboratories, please establish one as needed by calling the applicable phone number(s) below.

    EmblemHealth Network Laboratory Services

    Laboratory

    Plans Covered

    Phone Number

    Website

    Routine Clinical Laboratory Services

    Quest Diagnostics, Inc. All Networks and Plans (866) 697-8378 www.questdiagnostics.com

    ACM Medical Laboratory

    GHI-Underwritten
    Networks and Plans ONLY

    (800) 525-5227

    www.acmlab.com

    Lab Alliance of
    Central New York, LLC
    GHI-Underwritten
    Networks and Plans ONLY
    (315) 461-3008 www.laboratoryalliance.com
    Shiel Medical Laboratory, Inc. GHI-Underwritten
    Networks and Plans ONLY
    (718) 552-1000 www.shiel.com

    Cardiovascular Disease

    Quest Diagnostics, Inc. All Networks and Plans (866) 697-8378 www.questdiagnostics.com

    Dermatopathology

    Quest Diagnostics, Inc. All Networks and Plans (866) 697-8378 www.questdiagnostics.com
    AmeriPath New York, LLC
    (aka Dermpath Diagnostics & Ackerman Academy of Dermatopathology)
    All Networks and Plans Dermpath:
    (800) 942-3376
    Ackerman:
    (800) 553-6621
    www.ameripath.com
    InterScience Diagnostics GHI-Underwritten
    Commercial
    Networks and Plans ONLY
    (718) 698-5461 www.interwsciencelabs.net
    Lakewood Pathology Associates
    (dba PLUS Diagnostics)
    GHI-Underwritten
    Networks and Plans ONLY
    (800) 440-7284  www.plusdx.net

    Dialysis Testing

    DaVita Labs All Networks and Plans (800) 604-5227 www.davita.com
    Spectra Laboratories All Networks and Plans (800) 522-4662
    (800) 433-3773
    www.spectra-labs.com

    Endocrinology

    Quest Diagnostics, Inc. All Networks and Plans (866) 697-8378 www.questdiagnostics.com

    Gastroenterology

    Quest Diagnostics, Inc. All Networks and Plans (866) 697-8378 www.questdiagnostics.com
    AmeriPath New York All Networks and Plans (866) 393-7434 www.ameripath.com
    Lakewood Pathology Associates
    (dba PLUS Diagnostics)
    GHI-Underwritten
    Networks and Plans ONLY
    (800) 440-7284 www.plusdx.net

    Gene-Based Testing

    Quest Diagnostics, Inc. All Networks and Plans (866) 697-8378 www.questdiagnostics.com
    AmeriPath New York, LLC
    (aka AmeriPath Northeast)
    All Networks and Plans (866) 436-9631 www.ameripath.com
    Genomic Health All Networks and Plans (866) 662-6897 www.genomichealth.com
    Mount Sinai Genetic
    Testing Laboratory
    All Networks and Plans (212) 241-7518 www.mssm.edu

    Hematology/Oncology

    Quest Diagnostics, Inc. All Networks and Plans (866) 697-8378 www.questdiagnostics.com
    AmeriPath New York, LLC
    (aka AmeriPath Northeast)
    All Networks and Plans (800) 440-7284 www.ameripath.com
    Lakewood Pathology Associates
    (dba PLUS Diagnostics)
    GHI-Underwritten
    Networks and Plans ONLY
    (800) 440-7284 www.plusdx.net

    Neurology

    Quest Diagnostics, Inc. All Networks and Plans (866) 697-8378 www.questdiagnostics.com

    Pain Management

    Quest Diagnostics, Inc. All Networks and Plans (866) 697-8378 www.questdiagnostics.com
    American Forensic
    Toxicology Services
    All Networks and Plans (855) 895-8090 www.aftslabs.com

    Urology

    Quest Diagnostics, Inc. All Networks and Plans (866) 697-8378 www.questdiagnostics.com
    AmeriPath New York All Networks and Plans (866) 393-7434 www.ameripath.com
    Lakewood Pathology Associates
    (dba PLUS Diagnostics)
    GHI-Underwritten
    Networks and Plans ONLY
    (800) 440-7284 www.plusdx.net

    Note: A full list of Provider Networks and Member Benefit Plans may be found in the Provider Networks and Member Benefit Plans Chapter. Providers are encouraged to subscribe to receive updates by clicking the subscribe icon above.

    STAT Laboratory Services

    Selected tests are available on a STAT (emergency) basis. Specimens requiring STAT services should not be given to your routine Route Service Representative. Instead, practitioners should call the Quest Diagnostics Logistics department for STAT specimen pick-up at the number listed below. Practitioners may also consult their local Quest Diagnostics laboratory for more information.

    STAT results are reported by telephone as soon as available. Written and/or electronic reports will follow per your routine medical report delivery system.

    Please contact your local Quest Diagnostics laboratory to request a STAT service or pick-up:
    New York (excluding Long Island): Logistics department: 1-800-223-0570
    Long Island (Nassau and Suffolk Counties): Logistics department: 1-800-877-7588
    New Jersey: STAT laboratory direct number: 1-800-648-4738

     

    My Subscriptions

    Enter your e-mail address to receive a link to your subscriptions.

    Submit
    ×

    Glossary terms found on this page:

    Services that have been approved for payment based on a review of EmblemHealth's policies.

    A health insurance product offered by a health plan company that is defined by the benefit contract and represents a set of covered services. Also called a health benefit plan.

    An itemized statement of health care services and their costs provided by a hospital, physician's office or other health care facility. Claims are submitted to the insurer or managed care plan by either the plan member or the provider for payment of the costs incurred.

    A legal agreement between an individual member or an employer group and a health plan that describes the benefits and limitations of the coverage.

    A general term for the deductible, copayment and coinsurance provisions in the member's plan.

    An individual other than the subscriber who is eligible to receive health care services under the member's Certificate of Insurance. Generally, dependents are limited to the subscriber's spouse and eligible children.

    Means a medical or behavioral condition, the onset of which is sudden, that manifests itself by symptoms of sufficient severity, including severe pain, that a prudent layperson, possessing an average knowledge of medicine and health, could reasonably expect the absence of immediate medical attention to result in (a) placing the health of the person afflicted with such condition in serious jeopardy, or in the case of a behavioral condition, placing the health of such person or others in serious jeopardy; (b) serious impairment to such person’s bodily functions; (c) serious dysfunction of any bodily organ or part of such person; or (d) serious disfigurement of such person.

    A health care benefit arrangement that is similar to a preferred provider organization in administration, structure and operation but does not cover out-of-network care. Also called an Exclusive Provider Organization.

    An institution which provides inpatient services under the supervision of a physician, and meets the following requirements:

    • Provides diagnostic and therapeutic services for medical diagnosis, treatment and care of injured and sick persons and has, as a minimum, laboratory and radiology services and organized departments of medicine and surgery
    • Has an organized medical staff which may include, in addition to doctors of medicine, doctors of osteopathy and dentistry
    • Has bylaws, rules and regulations pertaining to standards of medical care and service rendered by its medical staff
    • Maintains medical records for all patients
    • Has a requirement that every patient be under the care of a member of the medical staff
    • Provides 24-hour patient services
    • Has in effect agreements with a home health agency for referral and transfer of patients to home health agency care when such service is appropriate to meet the patient's requirements

    An organization comprised of individual physicians or physicians in group practices that contracts with the managed care organization on behalf of its member physicians to provide health care services. Also called an Independent Practice Association.

    Acronym for Medicare Advantage. An alternative to the traditional Medicare program in which private plans run by health insurance companies provide health care benefits that eligible beneficiaries would otherwise receive directly from the Medicare program.

    An individual and each of his or her eligible dependents, including Medicare beneficiaries who are enrolled or participate in a benefit program and who are entitled to receive covered services from the practitioner pursuant to such benefit program and the terms of the practitioner's agreement.

    The group of physicians, hospital, and other medical care providers that a specific plan has contracted with to deliver medical services to its members.

    A hospital that is part of EmblemHealth's provider network and has signed an agreement to provide covered services to its members. Sometimes, network hospitals and facilities are referred to as participating hospitals.

    A physician, hospital or other provider who has signed an agreement to covered services to EmblemHealth plan members. A network provider is a member of the EmblemHealth network of network providers applicable to the member's certificate. Therefore, they are sometimes referred to as participating providers. Payment is made directly to a network provider. Please consult the EmblemHealth Directory or go online to search for network providers.

    The use of health care providers who have not contracted with the health plan to provide services. Depending on the member's contract, out-of-network services may not be covered.

    A health care provider, such as a physician, skilled nursing facility, home health agency or laboratory, that does not have an agreement with EmblemHealth plans to provide covered services to members. Also called a Non-Participating Provider.

    A type of health benefit plan that allows enrollees to go outside the health plan's provider network for care, but requires enrollees to pay higher out-of-pocket fees when they do. Also called Point of Service.

    A medical practitioner or covered facility recognized by EmblemHealth for reimbursement purposes. A provider may be any of the following, subject to the conditions listed in this paragraph:

    • Doctor of medicine
    • Doctor of osteopathy
    • Dentist
    • Chiropractor
    • Doctor of podiatric medicine
    • Physical therapist
    • Nurse midwife
    • Certified and registered psychologist
    • Certified and qualified social worker
    • Optometrist
    • Nurse anesthetist
    • Speech-language pathologist
    • Audiologist
    • Clinical laboratory
    • Screening center
    • General hospital
    • Any other type of practitioner or facility specifically listed in the member's Certificate of Insurance as a practitioner or facility recognized by EmblemHealth for reimbursement purposes

    A provider must be licensed or certified to render the covered service. The covered service must be within the scope of the Provider's license or certification.

    A set of providers contracted with a health plan to provide services to the enrollees.

    ×

You are now leaving the Medicare section of the EmblemHealth website.

Click to Continue ×

Your member ID # is on the front of your ID card.