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General Questions

Why have I received an invoice from Avantic Medical Lab?

The invoice you received is for laboratory services provided by Avantic Medical Lab, which were ordered by your physician. This invoice 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.

Although you may not have physically visited a Avantic Medical Lab location, your physician may have sent your specimen out to Avantic Medical Lab to be tested.

Please refer to the message on your Avantic Medical Lab invoice or the Explanation of Benefits (EOB) from your insurance carrier for more specific information about why you received an invoice.

A few reasons you may have received an invoice 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 invoice. Who can help me to understand it?

If you would like further assistance, please call the Customer Service phone number listed on your invoice.

Why does an invoice for my testing sometimes get mailed to my home addressed to my spouse?

The policyholder is responsible for payment of co-insurance, co-payments and or deductibles incurred for covered services provided to you as a covered dependent. If the invoice is addressed to your spouse, it is likely that your spouse is the insurance policyholder.

I received an invoice requesting additional information. What should I do?

Please send the requested information to the address or fax number listed on your invoice. You can also call the Customer Service phone number listed on your invoice. If the message on your invoice indicates that your insurance carrier needs more information from you in order to process your claim, please contact your insurance carrier directly.

Where does Avantic Medical Lab obtain the diagnosis information related to my claim?

Avantic Medical Lab obtains diagnosis information from the ordering physician’s office. 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 Patient Service Centers (PSC) 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 and uninsured patients 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.

Payment

Can I pay my invoice online?

You can pay your invoice directly from this website by clicking  HERE.

Is my payment information secure?

Yes.

All of us are concerned about web privacy and the security of the information we transmit over the Internet. When paying your bill online through the Avantic Medical Lab hosted bill payment application, be assured that your information is secure, both during transmission over the Internet and within the application itself.

This application uses industry standard SSL encryption on EVERY page in the system. This is the same encryption and validation technology used by banks and brokerages to safeguard your financial information.

For more information, see our  privacy policy.

How do I pay my invoice by mail?

To pay your invoice by mail, send your payment to the “Send Payments To” address listed on your invoice.

Please send your invoice, along with your payment and write your invoice number(s) on your check or money order to ensure proper credit is applied.

Why do I have a different invoice number each time I have services performed? How does this affect making payments online?

Our billing system generates transactional specific invoices. Due to patient privacy issues, our system does not store information regarding the patient from transaction to transaction. Each transaction generates a new invoice number. Therefore, if paying online, the online invoice number must match the actual paper invoice so the payment can be applied to the correct invoice.

Am I required to pay for past due balances in order to get future services?

A payment may be required at the time of service for all past due balances. Avantic Medical Lab reserves the right to refuse laboratory services for failure to pay for past services.

Insurance

How can I find out if Avantic Medical Lab is a participating provider with my insurance?

You can view an online list of insurance carriers that participate with Avantic Medical Lab by clicking here. However, it is the patient’s responsibility to verify benefits before services are performed. Any questions regarding coverage should be directed to your insurance carrier.

Why have I received an invoice when I have insurance that covers my laboratory testing?

A few reasons you may have received an invoice 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

Please refer to the message on your Avantic Medical Lab invoice or the Explanation of Benefits (EOB) from your insurance carrier for more specific information about why you received an invoice. If you have additional questions or concerns, please contact your insurance carrier directly. If your insurance carrier was not billed or was billed with incorrect information, you can submit your correct insurance information here and we will resubmit a claim to your insurance carrier. It is helpful to have your insurance card in front of you when providing this information.

Why was my invoice billed with incorrect insurance information?

Your insurance carrier is billed based on the information provided to us on the original test order from your physician, also called a requisition. Sometimes the information provided on the requisition is incorrect. To ensure your insurance is billed properly, please present your insurance card at each physician’s office or Patient Service Center (PSC) visit. Please also make sure your physician’s office or the PSC, has your most current insurance and billing information, including your current address, contact information, and correct date of birth.

Why do I have to give my insurance information each time I visit my physician or Patient Service Center?

Individual insurance coverage plans typically change on an annual basis. It is important to provide your most current insurance policy information at each visit to ensure proper billing.

I received information from my insurance carrier about my benefits and I do not understand all of the information. Can you help me?

For information regarding coverage and benefits from your insurance carrier, please contact your insurance carrier directly. Information about how a specific claim is processed should be provided to you from your insurance carrier on an Explanation of Benefits (EOB) form. These forms usually differ with each insurance carrier.

The “Explanation of Benefits” I received from my insurance carrier is different from the information on my Avantic Medical Lab invoice. What should I do?

If you received an Explanation of Benefits (EOB) from your insurance carrier that differs from what is indicated on your Avantic Medical Lab invoice, please write your invoice number on the EOB and mail a copy or fax it to Avantic Medical Lab. Please refer to your invoice for the correspondence mailing address and fax number. Avantic Medical Lab will contact your insurance carrier to research and resolve the discrepancy.

How long will it take to receive a response from my insurance carrier?

It typically takes about four to six weeks for your insurance carrier to process your claim and send you and Explanation of Benefits (EOB).

Is Avantic Medical Lab able to tell me if I am covered for testing?

No, Avantic Medical Lab does not know each individual patient’s insurance coverage. It is the patient’s responsibility to verify benefits before services are performed. Any questions regarding coverage should be directed to your insurance carrier.

Pricing

How can I obtain pricing information?

If you are having your blood drawn at a Avantic Medical Lab Patient Service Center (PSC), you can ask for patient pricing before it is drawn. You can also contact the Billing Customer Service or the Customer Service department at the laboratory. In order to receive accurate pricing information, it is necessary to provide the correct service code from the test order.

Can Avantic Medical Lab tell me how much I can expect to pay for my tests?

The price you pay for tests performed by Avantic Medical Lab may be dependent on several variables, such as:

  • If you have insurance or not
  • Your insurance plan coverage of laboratory tests
  • Your age: if you are 65+, Medicare will not pay for some tests that your physician considers important; and
  • Your healthcare provider’s agreement with Avantic Medical Lab.

Medicare

What is an Advanced Beneficiary Notice (ABN) and why is it required for certain tests?

An Advanced Beneficiary Notice (ABN) is a requirement by Medicare. The purpose of the ABN is to help patients make an informed choice about whether or not they want to receive certain laboratory tests that have a likelihood of being denied for payment by Medicare. The Medicare program pays for services only if it determines that the services are reasonable and necessary. Medicare deems some tests as medically necessary only if the patient has certain medical conditions, symptoms, or diseases. Medicare calls these tests Limited Coverage Tests. If the patient chooses to have the Limited Coverage tests performed, the patient will have financial responsibility for the testing if Medicare denies payment.

How can I have Medicare send my invoice to my secondary insurance carrier?

Medicare provides a “crossover” program that automatically forwards patients claims to their secondary insurance carrier for coordination of benefits. To take advantage of this program, please contact Medicare directly to notify them of your secondary insurance coverage.

Patient Assistance Programs

Does Avantic Medical Lab have a program for patients experiencing financial hardship and/or patients who do not have insurance?

Avantic Medical Lab offers payment plans, which allows patients to pay in monthly installments until their balance is paid in full. We also offer Financial Assistance, which provides free or reduced-fee laboratory services, to those who qualify based on U.S. Department of Health and Human Service poverty guidelines.

Your questions, comments, and feedback are important to us. Please see our  Contact Us  page for further information.

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