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 responsibility of the patient. In addition, any insurance payments due to BioReference, but paid to the patient for services provided, are due immediately to BioReference.
In accordance with the Explanation of Benefits (EOB) provided by the patient’s 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 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 collections.
For Patients with No Insurance or Self-Pay
Uninsured patients or those who choose to self-pay are responsible for all services provided. Patients who are categorized as self-pay due to ineligible insurance coverage are responsible for payment on all services provided. All invoices are expected to be paid in full. Self-pay patients may be eligible for applicable discounts when remitting payment. Please inquire with BioReference for more information. Self-pay patients who make partial or full payments and then choose to submit active insurance information will be refunded only after the insurance carrier adjudicates and pays the claim.