Health Plans – Fee for Service Billing

Health Plans – Fee for Service Billing

Cordant Health Solutions partners with health plans, managed care organizations, and payer networks to deliver reliable, cost-effective toxicology and drug testing services. Our laboratory programs support quality improvement, compliance oversight, and responsible healthcare spending.

Focused on Lower Costs for Payers and Patients, Appropriate Utilization and Better Outcomes

Cordant Health Solutions® works collaboratively with your organization to provide programs and reporting to optimize the use of toxicology lab services for your provider network and health plan members. Our goal is to be aligned with you to help support your policies around medication management services. We partner with you in a variety of ways to reduce out-of-network leakage and drive appropriate testing utilization.

We work closely with commercial health plans, Medicaid programs, Medicare Advantage organizations, and integrated care networks to support responsible utilization management and evidence-based care.

Our services help:

• Monitor high-risk medication use

• Support opioid stewardship programs

• Detect fraud, waste, and abuse

• Improve treatment outcomes

• Reduce unnecessary healthcare costs

With detailed reporting, transparent billing, and customizable testing protocols, Cordant supports payer initiatives focused on quality, safety, and compliance.

1 Exceptional Compliance Program

Cordant’s robust compliance program ensures all business practices are consistent with applicable legal and regulatory mandates and meet all elements of the OIG Model Compliance Program for Clinical Laboratories.

Based on quarterly reviews led by our compliance team, Cordant team members conduct in-person meetings with various clinicians to review aggregate drug testing results, including discussions on:

Drug testing frequency, review of the practice's positivity rates, medical necessity to support requirements, medical record documentation
Current health plan policies and how they relate to existing test ordering patterns

2 Full-Service Testing Capabilities

Through our capabilities to test a range of different fluids types, Cordant can be a consultative partner to ensure the right test at the right time and provide actionable information based on that testing. Our scientific expertise and breadth of testing afford us a key advantage in helping you maximize the tools and resources at your disposal to choose the tests that best suit your needs.

3 Lower Costs for Payers

Cordant’s program helps better monitor patient test frequency.

4 Beyond Toxicology Testing

Cordant's solutions go beyond improving patient safety and outcomes to help your organization:

Reduce fraud, abuse, and waste
Manage high-cost cases
Utilize healthcare dollars more effectively

5 Insurance Networks and Payment

Our laboratories are in-network with insurance providers nationwide and partner with new payers regularly to eliminate unnecessary healthcare costs. We also maintain electronic data interfaces (EDIs) with nearly all of our payers to avoid processing errors.

6 Certifications

We maintain certifications from the Clinical Laboratory Improvement Amendments (CLIA), and the College of American Pathologists (CAP) to not just meet but exceed industry quality standards.

Service Testimonial

“Cordant provides our health plan with dependable laboratory services that support compliance initiatives and improve care coordination across our network.”