Insurance / Billing

How to Make a Payment

Diagnostic Laboratory Services accepts payment made by cash, personal check, money order, or credit cards. We accept VISA, MasterCard, American Express, and Discover. Debit cards with the VISA and MasterCard logo are also accepted. Payments can be made in the following ways:

Information Required for Single or Dual Insurance Coverage:

• Health Plan Name
• Health plan address and telephone number or copy of insurance card (front & back)
• Subscriber / Membership name
• Subscriber / Membership ID number

Disclaimer

If your health plan is not listed please contact your insurance carrier to verify participation. Medicare Advantage Plans are health plan options that are approved by Medicare and administered by private companies; this is accepted by Diagnostic Laboratory Services, Inc.

Insured Patients

Diagnostic Laboratory Services (DLS) will submit a claim to your insurance carrier(s). To ensure timely and accurate insurance filing, it is important that DLS receives or verifies your address, telephone number, and insurance information at the time of service.

Your Rights and Protections against Surprise Medical Bills

You are protected from surprise billing or balance billing. Learn more about the No Surprises Act.

Uninsured Patients

DLS offers a discount at the time of service if you are uninsured or choose to self-pay.

• Payments are due at the time of service.
• If self-pay, no claim will be filed to your insurance carrier.
• You may receive a bill for additional testing performed according to your test results or per your doctor’s request.

Good Faith Estimates (GFE)

No Surprises Act (NSA) protects uninsured (or self-pay) individuals from unexpectedly high medical bills. If an individual does not have health insurance or chooses to self-pay for laboratory services, they are eligible to receive a “good faith estimate” of what they may be charged.

• The information provided is a good faith estimate only and is based on information known at the time of service.
• Estimates are not binding and is valid for 30 days.
• You may receive a bill for additional testing performed according to your test results or per your doctor’s request.

If you receive a bill at least $400 more than your Good Faith Estimate, you can dispute the bill.

• Questions about your bill may be directed to our billing department at 808-589-5102 or 1-800-555-2357.
• You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.
• There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.

For questions or more information about your right to a Good Faith Estimate or the dispute process, visit:

https://www.cms.gov/nosurprises/consumers
or call 1-800-985-3059.

Patient Financial Responsibility

Please refer to your plan benefit or contact your insurance carrier on the following.

• Lab test(s) ordered by a Naturopathic physician may not be covered by your plan.
• Some lab test(s) require a referral and/or pre-authorization.
• Lab test(s) deemed experimental and/or investigational by your insurance is the responsibility of the patient.
• The patient is responsible for the deductible and/or co-payment.