Avanti Laboratories has helped our patient customers navigate the rapidly changing and disruptive non-payment policies of some of the most notable carrier companies in this health industry.
We work in tandem with our clients to ensure that every test ordered, will translate into an actionable clinical decision. We consider this close support essential to helping providers and their patients reap the maximum benefit from working with us, the benefit of improving your overall health!
Look to our billing specialists for:
Expertise with Private and Federal Billing guidelines
Automated tracking of test frequencies as well as billable versus non-billable tests Compliance with CMS and private payer billing regulations for testing To support diverse customer needs, we provide a variety of billing options and arrangements, including support for:
Managed Care Organizations
Payment arrangements are available for managed care organizations (MCOs) andother insurance providers that may not pay Avanti directly. Please contact an Avanti Laboratories Billing Representative to discuss specific MCO practices.
Avanti Laboratories will bill private insurance companies for treatment upon receipt of the patient’s active insurance information or a copy of the insurance card. Depending upon individual policies, patients may be responsible for co-payments, deductibles, out-of-pocket or non-covered charges.
Medicare & Medicaid Plans
CMS requires ordering physicians to provide laboratories with a diagnosis code which supports medical necessity for each requested test.