Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Members should discuss any matters related to their coverage or condition with their treating provider.Įach benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Treating providers are solely responsible for medical advice and treatment of members. The ABA Medical Necessity Guide does not constitute medical advice. The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. Please don’t use the EDI process to make your request.īy clicking on “I Accept”, I acknowledge and accept that: If you’re a provider in Louisiana in the process of credentialing with us - and need to find out if a service requires prior authorization - call the precertification phone number on the member’s ID card. You will be notified when a coverage decision is made. The tracking number does not indicate approval. ![]() Note: If we need to review applicable medical records, we may assign a tracking number to your precertification request. Participating providers are required to pursue precertification for procedures and services on the lists below.Ģ023 Participating Provider Precertification List – Effective date: Ma(PDF)īehavioral health precertification list – effective date: Janu(PDF)įor Aetna’s commercial plans, there is no precertification required for buprenorphine products to treat opioid addiction. Karrington is proud to operate by the guiding principle "Early detection - better health.Precertification applies to all benefits plans that include a precertification requirement. Our current test menu includes Fecal Immunochemical Test (FIT), Hemoglobin A1c Test (HbA1c), Urine Albumin (Microalbumin) Test (MAU), Kidney Health Evaluation (KED), and Alpha-1 Antitrypsin (A1AT). Karrington is continually developing new and improved diagnostic testing and laboratory processes, and has expanded its testing menu using its minimally invasive phlebotomy technology. Its medical leadership has more than two decades of high complexity laboratory testing experience and is fully committed to delivering on-time customer response. Karrington Clinical Laboratory, LLC is state-of-the-art CLIA and CAP-certified laboratory ensuring a gold standard for accuracy, precision, validity, and reliability across all diagnostics. *Matrix Medical Network is the registered trademark of Community Care Health Network, LLC.Ībout Karrington Clinical Laboratory, LLC Mark Parks will serve as the Chief Visionary Officer, bringing vast experience in the logistics industry and a goal of streamlining Karrington's operations while meeting client needs and timelines. Henry Bell will continue to lead Karrington in the role of Medical Director with a focus on bringing the medical community unique testing capabilities. Going forward, on behalf of its clients, Matrix will dedicate resources to strengthen its capabilities to deliver on our ambition to improve the health and life of those who need it most by bringing health and care directly to them in-home. "The healthcare industry continues to rapidly evolve, shifting client expectations and creating new competitive opportunities. We are incredibly proud of the work the laboratory team accomplished," said Catherine J. "At the onset of the pandemic Matrix swiftly pivoted and established new service lines, including a clinical laboratory, to deliver safe and expedient diagnostic testing services to our clients. ![]() The expanded laboratory will allow Karrington to focus on the continued growth of the lab, develop new and improved molecular diagnostic testing and laboratory processes, and expand its testing menu using its minimally invasive phlebotomy technology. The transaction will provide Karrington an established CLIA-certified and CAP-accredited laboratory dedicated to delivering clinical diagnostics tests.
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