FAQs
Billing
  • Did you file with my insurance?
  • Do you accept credit cards for payment?
  • Do you accept my insurance?
  • Do you accept payment by check?
  • How do I obtain copies of my billing records?
  • I have a Health Savings Account (HSA). What kind of billing arrangements can be made to accommodate my HSA?
  • Why am I being billed?
  • Why am I receiving a bill for a doctor I never saw?
  • Why is my insurance denying these laboratory services?
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    General
  • How do I get the results or interpretation of my blood test?
  • How do I obtain copies of my pathology report?
  • What are send-out or specialized lab tests?
  • What happens when a physician removes some of my body tissue during an office visit or during surgery?
  • What is a pap smear?
  • Why do I need lab tests?
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    Billing
     
    Q: Did you file with my insurance?
    A: Your primary insurance is billed first. Once we receive a response from them, we are able to bill your secondary insurance (if you have one). If no insurance information is on file, or if the information is incorrect, you will need to provide us with updated information. Please contact our billing company at (866) 414-0071.
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    Q: Do you accept credit cards for payment?
    A: Yes, we accept American Express, Visa, MasterCard and Discover. Please contact our billing company at (866) 414-0071 to make a payment. Please have your account statement with you during the call to verify name, account number and total amount due.
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    Q: Do you accept my insurance?
    A:
    We accept assignment and send bills directly to Medicare, Medicare Supplemental Plans¨, Medicaid, and Champus. We also have managed care agreements with the following insurance companies:
    1. Aetna PPO and Open Access, POS, EPO and HMO
    2. Aetna Medicare
    3. Alliance Health Providers of Brazos Valley (15 Payer networks representing 50 Employer groups)
    4. Beech Street
    5. Benefit Planners, Inc (Preferred Health Arrangement Inc.)
    6. BlueCross BlueShield PPO such as Blue Choice, Blue Edge, Blue Choice Plus
    7. BlueCross BlueShield HMO Blue
    8. BlueCross BlueShield Par Plan
    9. CHIP and STAR programs
    10. Cigna PPO and Open Access and HMO
    11. First Care
    12. Great West Healthcare HMO, PPO and Open Access (now associated with Cigna)
    13. Humana HMO, PPO, Open Access and Choice Care
    14. Humana Medicare
    15. Humana Tricare
    16. Multiplan formerly Private Healthcare Systems (PHCS) including affiliates such as GE Group Life Assurance Company, New England Life Insurance Company, New York Life Insurance Company, and Zenith Administrators
    17. UniCare
    18. United Health Care Select and Select Plus
    19. United Health Care Choice and Choice Plus
    20. United Health Care Options PPO and Managed Indemnity
    21. USA Managed Care

    Contact your human resources department or insurance carrier to find out if pathology services


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    Q: Do you accept payment by check?
    A: Yes, we accept payment by check. Please make check payable to Brazos Valley Pathology, P.A. and mail to: Brazos Valley Pathology, P. O. Box 163567, Austin, TX, 78716-3567. Please write your account number on your check.
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    Q: How do I obtain copies of my billing records?
    A: Requests for copies of billing records must be in writing. Click here to download our release form. Link to Education and Resources.
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    Q: I have a Health Savings Account (HSA). What kind of billing arrangements can be made to accommodate my HSA?
    A: Plan payments to providers are dependent on the type of plan that was purchased by either the employer or the individual. HSA account holders may qualify for up to a 15% discount. Please call our billing office at (866) 414-0071 for further information.
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    Q: Why am I being billed?
    A: Your physician ordered laboratory tests and pathology services were required to process those tests. Once our pathology team of physicians has performed, reviewed and/or provided oversight of the tests, a bill for payment is generated.
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    Q: Why am I receiving a bill for a doctor I never saw?
    A: Our bill is for laboratory tests or anatomic pathology tests performed on your blood, body fluid or body tissue. These laboratory tests are requested by your physician/surgeon. Pathologists work with lab personnel processing specimens for interpreting and reporting the findings to your physician. These pathology services meet the recognized definition of patient care services because they contribute directly to the diagnosis, care and treatment of individual patients. Only physicians with specialized training can perform these services.
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    Q: Why is my insurance denying these laboratory services?
    A:
    Our bill is for professional medical services provided to you for laboratory tests performed on your blood or body fluid.

    Our pathologists, licensed doctors that specialize in clinical medicine, are responsible for the supervision and direction of the hospital lab and personnel performing these tests. They are also available to your physician to discuss your test results and help in the direction of your medical care.
     
    We bill you or your insurance carrier for these professional services. These professional laboratory services are separate from the other services you receive at the hospital. Some insurance companies will deny (will not pay) payment of laboratory tests stating that our services were already billed by the hospital (duplicate billing). The patient is responsible for payment if the health plan does not cover professional laboratory services.
     
    You may be responsible for payment of laboratory tests not covered under your current health plan. Please check with your Human Resources department or your insurance carrier to find out if laboratory services are a covered benefit.

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    General
     
    Q: How do I get the results or interpretation of my blood test?
    A: The physician who ordered the tests is responsible for discussing the results with you. We encourage you to consult with your doctor as he or she is familiar with your medical history and current condition, and is in the best position to explain test results and their implications.
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    Q: How do I obtain copies of my pathology report?
    A: You may obtain a copy of your pathology report from your physician or from the Medical Records Department of the facility where you had surgery.
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    Q: What are send-out or specialized lab tests?
    A: Occasionally, very specialized lab tests need to be performed to complete the patientís diagnosis. These specialized tests are performed in limited laboratories based on the type of test needed. Typically, blood and tissue specimens are collected at the local hospital or laboratory and sent to the specialized laboratory for testing. The lab test results are then returned to the requesting physician. Examples of specialized lab tests are flow cytometry used to diagnose lymphoma or leukemia and cytogenetic studies performed on bone marrow and blood specimens.
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    Q: What happens when a physician removes some of my body tissue during an office visit or during surgery?
    A: Your tissue sample is submitted to a laboratory where it is processed and stained for microscopic examination. The pathologist uses several techniques along with microscopic examination to search for any type of disease before issuing a diagnosis via a pathology report. This pathology report is returned to the requesting doctor or surgeon who is then responsible for discussing its findings with you. Since pathologists most often communicate with other doctors, they are sometimes nicknamed "the doctor's doctor."
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    Q: What is a pap smear?
    A: The Papanikolaou test or Papanicolaou test (also called Pap smear, Pap test, cervical smear, smear test or ThinPrep) is a medical screening method primarily designed to detect premalignant and malignant processes in the ectocervix (the portion of the uterine cervix extending into the vagina).
    Samples are collected from the outer opening or os of the cervix and placed into a vial containing a liquid medium which preserves the cells. The sample is then sent to the laboratory where it is stained using the Papanicolaou technique, in which dyes and acids are selectively retained by cells to highlight cytoplasmic keratinization.

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    Q: Why do I need lab tests?
    A: Click here to learn why you need lab tests. Link to Education & Resources Why do I need lab tests done on my blood, urine or other body fluid?
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