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6655 N MacArthur Blvd , Irving TX 75039
• 866.588.3280
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                Request for Missing Information

                For Patients Pay a Bill Request for Missing Information

                Request for Missing Information

                Submit Requested Information to Inform Diagnostics

                Has your office received a Request for Missing Information from the Billing team at Inform Diagnostics? We use these requests to gather information to aid us in processing patient claims with payors. We may need information about the patient’s demographics, insurance, symptoms, diagnosis, or complaints. Additional clinical information may be required so that Inform Diagnostics may bill insurance payors for services performed.

                For example, the pathologist’s interpretation may conclude “normal” or non-diagnostic findings. Because International Classification of Diseases (ICD) codes do not specify “normal” or non-diagnostic findings, in these cases Inform Diagnostics bills pathology services using the information from the referring provider—the reason for specimen submission—per guidance provided by ICD and the Centers for Medicare & Medicaid Services (CMS).

                Please continue to provide information such as “rule-out …”, “suspicious for …”, “favors …”, and “… vs. …”, as applicable, as this is very helpful in directing examination and treatment. If your office is contacted by Inform Diagnostics for additional clinical information, please understand that we are doing so because ICD and CMS do not allow translation of the aforementioned examples of terminology into ICD codes, and we rely on this information for billing purposes.

                What to Do When You Receive a Request for Missing Information

                When you receive a Request for Missing Information, please complete the form and return it to Inform Diagnostics:

                • Fax to 214.614.4288; or
                • Scan completed form and email to Inform Diagnostics

                Questions? Contact our Billing team today at 866.588.3280.

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                Inform Diagnostics Inform Diagnostics 6655 N MacArthur Blvd, Irving, TX 75039 View Map [+] 866.588.3280 http://www.informdx.com/
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