In Our Scope

A tissue or body fluid (pathology specimen) obtained at either a doctor's office or medical center and labeled with your name was submitted to the laboratory for evaluation. Our pathologists are the specialists who evaluate the pathology specimen and consult with your doctor as to whether the sample submitted contains any abnormality. You will receive separate billing statements from your treating physician and/or the facility where you were seen.

EOB stands for Explanation of Benefits. The insurance carrier sends the patient and the provider a form summarizing the insurance plan's coverage for a specific medical event (procedure, test or supplies). This is not a bill. You will receive billing statements from CellNetix for any patient responsibility amounts, such as coinsurance or deductible.

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.

If you wish to submit billing information directly to our billing office, please contact our Billing Department at 877-340-5884, or you can email info@cellnetix.com.

Common Procedural Terminology (CPT) codes are used to report medical services performed to insurance payors for reimbursement. In pathology, the same CPT code is sometimes used to report slightly different or separate procedures. For example:
• Biopsies: If your surgeon submitted five different specimens to CellNetix for evaluation, each biopsy will be separately reported for payment resulting in multiple identical CPT codes.
• Immunohistochemistry staining (IHC): If IHC staining was performed on your specimens, each antibody stain performed will be separately reported for payment. This will again result in the same CPT code being duplicated for each antibody used.

Flow cytometry is a valuable tool in the diagnosis and management of blood cancers, which are known as leukemia and lymphoma. The testing method measures the number of cells in a sample as well as certain characteristics of cells including the presence of normal and abnormal markers on the cell surface. Our CellNetix pathologists will review your clinical information and all pathological material available and order the appropriate flow panel as medically indicated. A panel includes multiple markers necessary to obtain the critical diagnostic and therapeutic information. After the technical staff performs the testing, the results of the panel are interpreted by our CellNetix pathologists.

You can get a copy of your pathology report from your physician. Another option is to call your pathologist’s office (CellNetix Pathologists & Laboratories’ toll free number: 866-236-8296).

Yes. While there is a small cost incurred with this type of review, we frequently review pathology cases from outside institutions.

Yes. Again, a small cost is incurred with this type of review, but we are happy to facilitate such an “extra-departmental review.”