Certain payers (examples: BCBS of Texas, some Medicaid plans, etc.) would prefer that the performing entities for laboratory services bill for their own services, meaning the physicians bill for their services and the laboratory bills for their services.
When these services are billed separately, patients may see two EOBs (Explanation of Benefits) from their insurance company, one for the professional component and one for the technical component, similar to what would happen if the laboratory services were rendered at a hospital. If a co-payment is required from the patient they will possibly receive two statements for the copay, one from each entity. If there are any questions, please contact the billing office.
Typically, it takes 60 days or more for insurance companies to respond to Caris’ claims. Sometimes the insurer’s response to Caris is that more information is needed in order to process the claim. The billing cycle then restarts and may repeat itself several times.
Caris attempts to collect our claims from your insurance company without bothering the patient in the process. As a result, by the time the insurer calculates your financial responsibility and you receive an invoice from Caris, it may be more than four or five months after the date of service.
An Explanation of Benefits (EOB) is a notification form that your insurance company sends to you after processing a claim. An EOB is not a bill. It is only an estimate of your financial responsibility. The only time you should pay Caris is if you receive an invoice from us. Caris will treat all patients as if in-network even if we are an out-of-network provider.
When a physician performs a surgical procedure, several healthcare providers participate. For example, a surgery center, anesthesiologist, radiologist, and pathology lab may all assist the surgeon. These independent providers bill your insurance company directly for these services. If you or your insurance company received a bill from Caris, it is because we provided pathology lab services to your physician on your behalf.
Co-insurance, Co-payments and Deductibles:
Your bill from Caris usually pertains to a deductible or copayment according to the terms of your contracted in-network benefits with your insurer.
Incorrect or Incomplete Information:
You may receive a bill from Caris if it appears that you do not have insurance coverage or if the information provided to Caris was incomplete or inaccurate. Please call us to correct the information for re-filing and also call your doctor’s office to insure they have the proper information.
No Response From Insurance Company:
You may receive a bill from Caris if your insurer does not respond in a timely manner to a claim submitted. Please call Caris’ billing office at 888.344.1160 to ensure that we have the correct information, and we will resubmit the claim to your insurer.
Bill Payment Information:
To pay your bill, send check or money order to: P.O. Box 844117, Dallas, Texas 75284 or pay using our online bill pay tool.
Caris will file all secondary, or supplemental, insurance claims on your behalf. If you receive an invoice from Caris and believe that a secondary claim has not been filed, contact Caris’ billing office to verify. (Please make sure that your doctor has the necessary information on all of your insurance policies prior to your procedure.)
Billing Services: 1.888.344.1160
Please have your account number (found on your bill) and insurance policy number (from your insurance card) available.