There are several reasons why you might receive a bill even though you have medical coverage:
• Missing Insurance Information: Our Billing Department may not have received complete insurance and patient information to submit a claim.
• Claim Denial: Sometimes the insurance carrier has been billed but the payment was denied. If the denial is the cause of your receiving a bill from CellNetix Pathology & Laboratories, please refer to the EOB (Explanation of Benefits) mailed by your insurance company. The EOB form states the reason(s) for the denial.
• Medicare Denial: If you are a Medicare patient, it is possible that payment for a Limited Coverage Test was denied. In those instances, the patient is responsible for charges whenever the patient has signed the Advance Beneficiary Notice before the specimen was collected.