All Preferred Medical Doctors (PMD) and participating advanced practice providers are eligible for reimbursement of laboratory services identified in Exhibit I of the PMD Agreement. Providers who perform more advanced laboratory tests not listed in Exhibit I must be credentialed as a PPL to receive reimbursement.
A new report is available that provides the status of the PPL designation for your providers. Access the “Preferred Physician Laboratory” report from Profiles & Reports by logging in to ProviderAccess.
This report provides information about:
- PPL designation
- Active provider locations
- Locations that have been temporarily suspended for no claims activity
Note: It is the responsibility of the provider to ensure they submit the appropriate application to credentialing to receive PPL designation. If a provider fails to do so, claims will not be reprocessed.
A Clinical Laboratory Improvement Amendments (CLIA) of 1988 certification, higher than waiver level, must be obtained and must remain active at the physical location of each provider.
For more information on PPL requirements and how to enroll, visit the Preferred Physician Laboratory (PPL) Designation page on ProviderAccess.