Does your office verify benefits for labs or imaging?

No. The responsibility of benefit verification lies with the billing office or provider who provides the service. In the case of labs and imaging that means either the lab, hospital or imaging facility. Our office encourages all our patients to have the lab, hospital or imaging facility verify their benefits with the diagnosis codes and CPT codes that our office provides on your requisition forms BEFORE you have any services rendered so you don’t receive any unexpected bills. You can also verify these benefits yourself by calling your insurance company. Our office cannot handle any billing or imaging dispute that involves insured patients and only can investigate lab billing issues for self-pay patients as those patients are billed directly by our office. In the case of labs that are sent by the office during examination (pathology specimens, pap smears, or other collections) we advise our patients to contact their insurance PRIOR TO the date of service so you can inquire about the coverage for any labs that have been collected in the office and your network labs for specimens retrieved in the office for things like Pap smears, vaginal swabs and/or tissue. If we are notified by you within 48 hours as specimen collection (if you have requested at the time of service that you want the specimen held for you to contact your insurance) that you do not want a sample run then our office can cancel the lab request in case you find out that your insurance does not cover the lab. Otherwise the sample will be sent. Our office cannot and will not be responsible for charges, recording, or any other billing issues in regards to labs if our office is not contacted within that time window. We also do not schedule appointments for labs and imaging. Scheduling of labs and imaging is the responsibility of the patient.

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