Billing, Insurance & Payments

Diagnostix Premium Pathology Partners, Inc accepts most insurance plans, although we may not be "in-network" on all plans.  While it is your responsibility to make sure Diagnostix Premium Pathology Partners, Inc is a participating healthcare provider (in-network) for your insurance plan, we are contracted in 2020 with the PPO plans of the following leading insurance providers:

  • Aetna

  • Anthem Blue Cross

  • Blue Shield of California

  • Cigna

  • Medicare

  • United Healthcare

 

Increasingly, insurance companies are selling plans that have a narrow network of providers and will not provide benefits if you go “out of network.”

As a courtesy, we will contact your insurance company to verify your benefits, and also bill your insurance for services. Any amounts given to us by your insurance are only quotes and not a guarantee of payment.  Differences among insurance policies available to individuals have become increasingly complex over the years, and it has become impossible for our practice to know each specific plan and their limitations. 

 

To avoid unexpected charges, it is your responsibility to know your insurance benefits. Your insurance policy is a contract between you and your insurance company, and we are not able to modify coverage, co-payments or deductibles. You will be financially responsible for any balances not paid by your insurance company.

  • In order to bill your insurance company for services provided, it is critical that we have current insurance information in our records.

  • If you have a deductible there may be a patient balance after the insurance company has paid their portion of the bill. We will bill you for this balance due and request payment be made within 10 days from invoice date.

  • Your insurance company may request additional information from you before they process claims. Please respond promptly to these requests. Failure to respond to insurance company requests may result in unpaid or denied claims, in which case the patient becomes fully responsible for these charges.

BILLING INFORMATION

We have developed financial policies that we believe are transparent, fair and patient-friendly. Key components of our financial and billing policies are outlined below:

 

COPAYMENTS, DEDUCTIBLES, AND CO-INSURANCE:

​​Payments are due at the time of the visit.

  • Many insurance plans require that the patient share in the cost of the visit by paying a copayment, co-insurance and/or having a deductible.

  • Diagnostix cannot guarantee that all services provided at time of visit will be covered under one copayment.

  • Non-payment of copayments may result in billing charges, collection activity, and discharge from the practice.

 

ADDITIONAL CHARGES

  • Not all services provided by our office are covered by all plans.

  • Please be aware that if any outside lab or imaging services are required, you may receive a separate bill for those services from the lab or imaging provider.

  •  For well care visits, some screenings and lab tests are considered separate billable procedures from the actual well care visit by insurance companies and may require an additional copayment or may not be covered by your insurance plan. 

 

PAYMENT

Patients are responsible for paying co-payments, deductibles and co-insurance at time of service. Please remember that we do not set your co-payment amount. Your co-payment is contracted between you and your insurance company, and we are not allowed to waive or reduce co-payments. As a service to you, we will bill any remaining co-insurance, deductible, and non-covered services to you after your insurance has processed your claim. We request payment within 30 days for these charges.

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  •  We accept payment by all major credit and debit cards.

​PAST DUE BALANCES AND COLLECTIONS

  • If you have a past-due balance on your account, you may be reminded of this when calling to make an appointment and will be asked to bring this payment with you to your next appointment.

  • For past due accounts over 30 days, there will be a $10 fee added to all accounts every 30 days for past due balances.

  • Past due accounts greater than 90 days are subject to third party action and potential discharge from the practice. In the event that your account must be turned over to collections, a 35% collection fee will be added to your account.

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Contact:

Diagnostix Premium Pathology Partners, Inc.

77734 Country Club Drive, Suite L-2

Palm Desert, CA 92211

Phone: 760-895-0680

Email: info@diagnostix.us

Hours of operation:

Mon-Fri    7 AM - 3 PM 

Copyright: Diagnostix Premium Pathology Partners, Inc. 2020