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General Questions:

Why have I received a bill from Clinical Laboratory?

The bill you received is for laboratory services provided by Clinical Laboratory, which were ordered by your physician.  This bill is for laboratory testing fees only and is separate from any bill you may have received from your physician and/or paid at your physician’s office.

Please refer to the message on your Clinical Laboratory bill or the Explanation of Benefits (EOB) from your insurance carrier for more specific information about why you received a bill.

A few reasons you may have received a bill include, but are not limited to, the following:

  • Insurance information was not received or the wrong insurance information was received on your test order;
  • The insurance carrier processed the claim and denied payment;
  • The insurance carrier processed the claim and applied the balance to your co-pay or deductible;
  • The insurance carrier did not respond to the claim.

I don’t understand some aspects of my bill.  Who can help me to understand it?

If you would like further assistance, please call our Billing Department to the phone number listed on your bill or you can call your Insurance carrier directly.

I received a bill requesting additional information.  What should I do?

Please send the requested information to the address or fax number listed on your bill.  You can also call the Billing Department to the phone number listed on your bill and we will be happy to assist in what we can. If the message on your bill indicates that your insurance carrier needs more information from you in order to process your claim, please contact your insurance carrier directly.

Where does Clinical Laboratory obtain the diagnosis information related to my claim?

Clinical Laboratory obtains diagnosis information from the requisition your ordering physician handed to you to bring to the laboratory.  If your insurance carrier denied your claim due to the diagnosis code, please contact your physician’s office.

Why am I being charged a draw fee?

A draw fee is charged when a patient goes to one of our locations for the drawing of a specimen.  Insurance may cover this fee for many of our patients.  However, patients whose insurance does not cover the draw fee are responsible for payment of the draw fee.

Why am I being charged for additional testing which was not on my original test order (requisition)?

There are two reasons that an additional test, which was not originally ordered by your physician, would be performed.  The first is that your physician may have called the laboratory to request additional testing after the order was submitted.  The second is that one of the tests your physician ordered may have been a “reflex” test.  Reflex testing may result in an additional test being performed depending on the results of the original test.  The reflex test is performed to get more detailed information about the findings of the initial test.