Billing Policies for Patients
At BioReference, we understand that billing processes and procedures should be made as simple as possible. The below billing policies have been outlined to provide key issues that may be relevant to you.
For Patients with In-Network Insurance
For all patients with in-network insurance, all cost sharing amounts (copay, coinsurance, deductible and out of pocket costs) are deemed the responsibility of the patient.
For Patients with Out-Of-Network Insurance
For all patients with out-of-network insurance, all cost sharing amounts (copay, coinsurance, deductible and out of pocket costs) are deemed the financial responsibility of the patient. In addition, any insurance payments due to BioReference, but issued to the patient for services provided by BioReference, are due immediately to BioReference. If a patient receives a check that should have been issued to BioReference for services rendered, the patient must sign over and return the check to BioReference in a timely manner. If not forwarded to BioReference in a timely manner, the matter will be outsourced to a collection agency.
In accordance with the Explanation of Benefits (EOB) provided by the patient’s health insurance carrier, regardless of whether in-network or out-of-network, patients will be sent two (2) statements in an effort to make a reasonable attempt to collect any and all outstanding balances. This will be followed by a pre-collection notice advising patients that if payment is not received in a timely manner, they may be outsourced to a collection agency. Financial Assistance Programs are available for qualified patients.
For Patients with No Insurance or Self-Pay
Uninsured patients or those who choose to SELF-PAY are financially responsible for all services provided. All invoices are expected to be paid in full. If payment is not received in a timely manner, they may be outsourced to a collection agency.
Patient Benefit Investigation
Receive an estimate based on the patient’s health insurance carrier. The patient is financially responsible for any amounts owed and due as indicated on the patient’s Explanation of Benefits issued by the patient’s health insurance carrier in accordance with the patient’s health benefit plan. Click here to use our Cost Estimator Tool.