FAQs for Billing

You can view an online list of insurance carriers that participate with Avantic Medical Lab by clicking here. However, it is the patient’s responsibility to verify benefits before services are performed. Any questions regarding coverage should be directed to your insurance carrier.

A few reasons you may have received an invoice include, but are not limited to, the following:

• Insurance information was not received or the wrong insurance information was received on your test order
• The insurance carrier processed the claim and denied payment
• The insurance carrier processed the claim and applied the balance to your co-pay or deductible
• The insurance carrier did not respond to the claim

Please refer to the message on your Avantic Medical Lab invoice or the Explanation of Benefits (EOB) from your insurance carrier for more specific information about why you received an invoice. If you have additional questions or concerns, please contact your insurance carrier directly. If your insurance carrier was not billed or was billed with incorrect information, you can submit your correct insurance information here and we will resubmit a claim to your insurance carrier. It is helpful to have your insurance card in front of you when providing this information.

Your insurance carrier is billed based on the information provided to us on the original test order from your physician, also called a requisition. Sometimes the information provided on the requisition is incorrect. To ensure your insurance is billed properly, please present your insurance card at each physician’s office or Patient Service Center (PSC) visit. Please also make sure your physician’s office or the PSC, has your most current insurance and billing information, including your current address, contact information, and correct date of birth.

Individual insurance coverage plans typically change on an annual basis. It is important to provide your most current insurance policy information at each visit to ensure proper billing.

For information regarding coverage and benefits from your insurance carrier, please contact your insurance carrier directly. Information about how a specific claim is processed should be provided to you from your insurance carrier on an Explanation of Benefits (EOB) form. These forms usually differ with each insurance carrier.

If you received an Explanation of Benefits (EOB) from your insurance carrier that differs from what is indicated on your Avantic Medical Lab invoice, please write your invoice number on the EOB and mail a copy or fax it to Avantic Medical Lab. Please refer to your invoice for the correspondence mailing address and fax number. Avantic Medical Lab will contact your insurance carrier to research and resolve the discrepancy.

It typically takes about four to six weeks for your insurance carrier to process your claim and send you and Explanation of Benefits (EOB).

No, Avantic Medical Lab does not know each individual patient’s insurance coverage. It is the patient’s responsibility to verify benefits before services are performed. Any questions regarding coverage should be directed to your insurance carrier.