Billing and Insurance Information

Billing information

Because our laboratory is considered a specialty laboratory, our biopsy processing procedure is covered under your patient’s MEDICAL insurance, NOT DENTAL insurance.

Our laboratory offers 3 convenient billing options for you and your patient:

• Bill the Surgeon
• Bill Patient's Insurance
• Patient Pay – Patient payment options include sending a check with the specimen payable to “Oral Pathology Services”, paying online, or calling our billing department to provide credit card information. 

Bill the Surgeon

Please check the Referring/Ordering Doctor payment option on the submission form to choose this option.  With this option, you may either send in a check, pay on-line, call in a credit card payment to the billing department, or opt to have an invoice sent to you. 

Bill the patient’s MEDICAL insurance (including Medicare)

NOTE: All contributing dentists/surgeons whose patient has a Medicare-involved insurance plan must be a registered PECOS provider who is eligible to refer for Part B Medicare services in order for us to accept the specimen. Any specimen from a patient on Medicare received from a contributor who is not a PECOS provider will be returned to the contributing dentist/surgeon unless the contributing doctor or patient pays for the service.

Med AR can help file with your patient’s medical insurance company. To do this, provide the following when you ship the specimen to us:

• a copy of your ID or DL, front and back
  a copy of your patient’s MEDICAL insurance card, front and back (this includes Medicare insurance)
• a complete ABN form if your patient has Medicare or is of Medicare age (supplied in the biopsy kit; must be completed by the patient before the biopsy is taken, and the patient should choose an option, depending on whether they would like Medicare billed or not, and sign and date the form)

Patient Pay

If the patient does not have medical insurance or wishes to self-pay instead of filing with their insurance, the patient will have to pay for the biopsy processing service in the amount of $255. The patient can pay by providing their doctor with a check to include in the biopsy kit they send us, paying online, or by calling the billing department at 281-407-2479. The patient will receive an invoice from Med AR for any biopsy processing charges over the $255 amount.

Important Information for Non-Medicare Providers

Even if your practice does not accept Medicare, if you are a registered PECOS provider, who are eligible to refer for part B services, we will accept your patient’s specimen. Please provide a copy of your patient’s Medicare card and complete an ABN form so our billing department can file a claim for your Medicare-insured patient as a courtesy service.

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