Eligibility/Verification Phone Number:

Precert/Authorization Phone Number:

Precert/Authorization Fax Number:

Claim Filing Deadline:

Appeal Time Frame:

Claim Payor:

Claim Address:

Electronic Claim Accepted?

UT Pathology, LabCorp, Quest Lab

Note: One of the Plan Codes listed below must be entered in the Insured Plan Name/Code Field in IDX for Kelsey-Seybold Claims

IPA's	Plan Code
Aetna	184
Cigna	181
HMO Blue	188
Humana	206
Medicare	207
Unicare	201