BILLING CALL CENTER FACTS
As a courtesy, FirstSource Laboratory will gladly file
to your insurance carrier given we have the necessary
information to do so.The information required to file
a claim:
- Insured’s Name
- Insured’s Social Security Number
- Insured’s Date of Birth
- Insurance Company Name
- Insurance Claims Filing Address
- Insurance Policy Identification Number
- Insurance Policy Group Number
•Although FirstSource Laboratory will do everything
possible to get the correct reimbursement from your
insurance carrier, the bill is ultimately the
patient’s responsibility.
•FirstSource Laboratory cannot legally release lab
results directly to the patient. Lab results can be
obtained by the doctor who ordered the test(s).
•FirstSource Laboratory bills with the diagnosis
provided by the referring doctor. FirstSource cannot
change the diagnosis for any reason. ONLY the
ordering doctor can supply a diagnosis.
•FirstSource Laboratory accepts VISA/ MasterCard/
Check/ or Money Order.
•Why has my doctor ordered these tests? Your doctor
feels the tests ordered are clinically necessary to
provide comprehensive healthcare. Laboratory
testing, although expensive at times, has been
proven to assist in the early detection and
prevention of diseases and other serious health
problems.
•Why is FirstSource billing me? FirstSource
Laboratory Solutions, Inc. received a test(s) order
directly from your physician to perform the testing
indicated on your statement. This bill is separate
and exclusive from any bills you may have received
directly from your physician’s office. You as a
patient are responsible for paying all applicable
in-network deductibles, co-insurance and testing not
covered by your insurance carrier.
•Can I pay my bill in monthly installments?
FirstSource will consider monthly payments depending
on the amount due for extreme hardship
situations. Please contact our call center to
inquire further.
•Why am I being billed for duplicate tests?
FirstSource bills insurance carriers using Common
Procedural Terminology (CPT) codes. Thus,
it is not uncommon to have multiple CPT codes billed
for the same date of service.
•Why was my account turned over to collections?
FirstSource provides ample opportunity for patients
to resolve balances before being sent to
collections. If we have not had a response to
several invoices, letters, and phone calls, your
account will be turned over to a collection agency.
•Why do your office personnel always ask for my
name, address, date of birth or social security
number either when I call in or they call me? Your
personal information is private and confidential.
Due to Federal HIPAA Guidelines our office personnel
are doing everything possible to verify that we are
only speaking to the patient/ guarantor of the
account.
•Why can you not speak with my spouse about my bill?
Due to Federal HIPAA Guidelines account information
can only be discussed with the patient/ guarantor of
the account unless a Release of Information Form is
signed by the patient and on file with FirstSource
Laboratory.
FINANCIAL HARDSHIP
Financial assistance is available for extreme
hardship situations. When you request financial
assistance from FirstSource Laboratory Solutions,
Inc. you will need to fill out the Financial
Hardship Questionnaire. The form must be completely
filled out (both pages) and signed. Forward the
completed form to the office with a letter
explaining why you believe your situation warrants
financial assistance, a check or money order for
$25.00 (towards the account balance), and proof of
income.
When the form is received in the office, it will be
reviewed by management to see if financial
assistance is warranted. Within 2 weeks of receiving
the hardship request management will make a decision
and a letter will be sent to the patient explaining
the decision. The assistance is based on Federal
Poverty Guidelines and personal financial situation.
2007 Poverty Guidelines for the 48 Contiguous States
and the District of Columbia:
Persons in Family Poverty Guideline
1 - $10,210
2 - $13,690
3 - $17,170
4 - $20,650
5 - $24,130
6 - $27,610
7 - $31,090
8 - $34,570
Assistance may be given by discounting the balance and/
or reducing the minimum monthly payment plan.
CLICK HERE TO DOWNLOAD THE FINANCIAL HARDSHIP FORM
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