Billing Frequently Asked Questions
Review this information to address your initial questions about a bill
from our pathology laboratory.
Why did I receive two EOBs from my insurance company for lab work?
Certain payers (examples: BCBS of Texas, some Medicaid plans, etc.) prefer
that the separate companies performing laboratory services each bill for
their own services, meaning the physicians bill for their services and
the laboratory bills for its services.
When these services are performed and billed separately, patients may see
two EOBs (Explanation of Benefits) from their insurance company, one for
the “professional component” (reading the slide or other results)
and one for the “technical component” (preparing the specimen
or performing tests). If a co-payment is required from the patient, you
will possibly receive two invoices, one from each company or organization.
If you have any questions, please contact the billing office listed on
the invoice you receive.
Why did it take so long to receive an invoice?
Typically, it takes 60 days or more for insurance companies to respond
to Inform Diagnostics’ claims. Sometimes the insurer’s response
to Inform Diagnostics is that more information is needed in order to process
the claim. The billing cycle then restarts and may repeat itself several times.
Inform Diagnostics attempts to collect our claims from your insurance company
without bothering the patient in the process. As a result, by the time
the insurer calculates your financial responsibility and you receive an
invoice from Inform Diagnostics, it may be more than four or five months
after the date of service.
I received an EOB from my insurance company. Does it require further action?
An Explanation of Benefits (EOB) is a notification from your insurance
company after it has processed a claim. An EOB is not a bill. It is only
an estimate of your financial responsibility. The only time you should
pay Inform Diagnostics is if you receive an invoice from us. Inform Diagnostics
Life Sciences will adjust the patient responsibility to an in-network
level of benefit (excludes Colorado, Florida, Idaho, New York, and South Dakota).
Why did I receive an invoice from a pathology company?
If you or your insurance company received an invoice from Inform Diagnostics,
it is because we provided pathology lab services to your physician on
your behalf. You may have heard that your specimen or biopsy was sent
to the lab. Inform Diagnostics laboratories are in several locations across
the country. Your specimen or biopsy was reviewed by a pathologist, which
is a doctor who has specialized in the diagnosis of disease, and possibly
further specialized in a specific field, such as dermatopathology or gastrointestinal
pathology. At Inform Diagnostics, all of the pathologists have further
specialized in their specific field of pathology.
What should I do with the invoice I received from Inform Diagnostics?
Co-insurance, Co-payments and Deductibles:
Your invoice from Inform Diagnostics usually pertains to a deductible or
copayment according to the terms of your contracted in-network benefits
with your insurer.
Incorrect or Incomplete Information:
You may receive an invoice from Inform Diagnostics if it appears that you
do not have insurance coverage, or if the information provided to Inform
Diagnostics was incomplete or inaccurate. Please call us to correct the
information for re-filing and also call your doctor’s office to
ensure that they have complete and correct information.
No Response From Insurance Company:
You may receive an invoice from Inform Diagnostics if your insurer does
not respond in a timely manner to a claim submitted. Please call Inform
Diagnostics’s billing office at 888.344.1160 to ensure that we have
the correct contact information for your insurance provider, and we will
resubmit the claim to your insurer.
To pay your invoice, send check or money order to P.O. Box 844117, Dallas,
Texas 75284 or
pay using our online bill pay tool.
I have a secondary, or supplemental, insurance policy. How does that affect me?
Inform Diagnostics will submit all secondary, or supplemental, insurance
claims on your behalf. If you receive an invoice from Inform Diagnostics
and believe that a secondary claim has not been submitted, contact Inform
Diagnostics’s billing office to verify. (Be sure to provide each
doctor’s office with the necessary information on all of your insurance
policies prior to any visits, procedures or tests.)
Who can I contact if I have additional questions about an invoice?
Inform Diagnostics Billing Services: 1.888.344.1160
Please have your account number (found on your invoice) and insurance policy
number (from your insurance card) available.