All PlansReimbursementMedium impact
Reimbursement Policies for Laboratory Services
Healthfirst·Provider Update
Effective date
Jun 1, 2023
We identified it
Jun 20, 2026
Summary
Healthfirst is implementing revised billing and reimbursement policies for laboratory services effective June 1, 2023, based on guidelines developed by Avalon Healthcare Solutions. The policy affects billing procedures, reimbursement rates, and guidelines for lab tests and procedures.
Action Required
By June 1, 2023: Billing team must review and implement the new Healthfirst laboratory billing and reimbursement policies available at the source URL. Access the Provider Alert and FAQ resources to understand specific changes. Update billing procedures and fee schedules according to the Avalon Healthcare Solutions guidelines adopted by Healthfirst.