February 22, 2021
Non-Participating Laboratory COVID-19 Testing Update
Health Partners Plans (HPP) recently identified a discrepancy in the reimbursement for COVID-19 testing to non‐participating laboratories.
HPP corrected the discrepancy, retroactive to April 1, 2020, to reflect a payment equal to 100% of the Pennsylvania Department of Human Services (DHS) fee schedule when COVID‐19 testing is rendered by a nonparticipating provider. As a result, we will be reprocessing claims paid at the incorrect fee schedule and recover any overpayment from future claim payments.
If you have any questions, please contact our Provider Services Helpline at 1-888-991-9023, Monday – Friday, 9 a.m. – 5:30 p.m.
Feb. 22: Full communication to providers