Patient FAQ

To contact the patient billing department:

337-436-3688 or billing@thepathlab.com

General FAQ's

Why am I receiving a bill from The Pathology Laboratory when I did not go there?

If you received any lab work while a patient at a local/contracted hospital, you may have received a bill from The Pathology Laboratory.  This bill is separate from any charges billed by the hospital. Our pathologists are directors over certain hospital labs, and they are professionally and legally accountable for your results.

You may see the following charges:

Professional Component:   The professional component (PC) represents the supervision and interpretation of a procedure provided by the physician or other healthcare professional

Technical Component:  The technical component (TC) represents the cost of the equipment, supplies and personnel to perform the procedure.

I paid for my doctor’s visit, so why is The Pathology Laboratory billing me too?

Although you may not have physically visited a Pathology Laboratory location, your physician may have sent your specimen out to The Pathology Laboratory for testing/analysis. The invoice you received from us is for lab testing fees only and is separate from any bill you may have received from your physician and/or paid at your physician’s office.

If you had a surgical procedure/biopsy done through a hospital, your specimen may have been sent to The Pathology as well, and our bill is for testing/analysis done. Again, this bill is separate from any other bill you received from other providers.

Other reasons you may have received a bill from The Pathology Laboratory:

  • Insurance information was not received, or the wrong insurance information was received on/with your test order.
  • The insurance carrier processed the claim and denied payment.
  • The insurance carrier processed the claim and applied the balance to your co-pay or deductible, or other out of pocket responsibility.
  • The insurance carrier did not respond to the claim.

Note: Please refer to your Explanation of Benefits you received from your insurance carrier for more specific information about why you received an invoice.

Why does my invoice get mailed to my home addressed to my spouse?

The policyholder is responsible for payment of co-insurance, co-payments and/or deductibles incurred for covered services provided to you as a covered dependent. If the invoice is addressed to your spouse, it is likely your spouse is the insurance policyholder.

Where does The Pathology Laboratory obtain diagnosis information related to my claim?

The Pathology Laboratory obtains diagnosis information from the ordering physician’s office. If your insurance carrier denied your claim due to the diagnosis code, please contact your physician’s office.

Why am I being charged a draw fee?

When patients come to The Pathology Laboratory for the drawing of a specimen, and the labs are sent to one of our reference labs, a draw fee is charged.  Insurance may cover this fee for many of our patients.  However, patients whose insurance does not cover the draw fee and uninsured patients are responsible for the payment of the draw fee.

I received a bill from a collection agency. Who do I pay?

Once your account is past due, and we have made several attempts to contact you for payment, the account is sent to a collection agency. This account then becomes the responsibility of the collection agency to collect; you can pay directly to the collection agency or to The Pathology Laboratory. The collection agency is Lake Area Collections and can be reached at 337-494-7475.

Payment FAQ's

What method of payment is acceptable?

Credit/debit card, all major credit cards, HSA Card, money order, personal/business check, check by phone, or online bill pay through your bank. (There will be a $25.00 processing fee for all checks returned for insufficient funds.)

Why do I have a different invoice number each time I have services performed? How does this affect making payments?

Our billing system generates transactional specific invoices. Each transaction generates a new invoice number. Your invoice should include your account number as the primary number, which should be included with/on your payment method. If there are two numbers separated by a dash, please include both numbers, as the second number is the invoice number associated with those specific charges.

Insurance FAQ's

Why do I have to give my insurance information each time I visit The Pathology Laboratory?

Individual insurance coverage plans typically change on an annual basis. It is important to provide your most current insurance policy information at each visit to ensure proper billing. In addition, it is best not to assume an individual’s coverage is currently active, as changes occur that may cause lapses in coverage or the cancellation/termination of such coverage.

Is The Pathology Laboratory able to tell me if I am covered for testing?

No, The Pathology Laboratory does not know each individual patient’s insurance coverage details. It is the patient’s responsibility to verify benefits before services are performed. Any questions regarding coverage should be directed to your insurance carrier.

Medicare FAQ's

What is an ABN?

An Advanced Beneficiary Notice (ABN) is a form, requiring the patient’s signature, to perform laboratory testing in the event Medicare is not expected to cover certain tests. If the patient chooses to have these tests performed, his or her signature gives The Pathology Laboratory permission to move forward with testing. In addition, the patient is assuming responsibility of payment for non-covered charges.

It is important to note that your doctor orders testing on his or her patients for medicinal purposes, and because Medicare does not cover a particular item or service does not mean you should not receive it. Talk with your doctor for more information on tests Medicare does not cover.

Billing Cycle

Patient Summary: Initial Statement

This will indicate, “This is not a bill.” The reason we send patient summaries is to inform patients about what tests were performed, what insurance information is on file, and to allow the opportunity to contact us with any new/corrected/missing information.

Insurance Claim: Two Weeks

A claim is usually filed two weeks after date of service with the insurance company on file (if any). This two-week window is to allow time for patients to contact us with any new/corrected information before filing claim. Allow 30-60 days for insurance processing (provided no issues arise during that time).

Patient Invoice: Thirty to Ninety Days

After insurance completes the claims processing cycle and all applicable discounts/payments are posted to account, patients typically receive a bill within two weeks from all process completions. This statement will indicate, “This is a Bill.”  Payment is due upon receipt.

** If payment is not received within 60 days, the collections process initiates. Patients
generally receive a phone call and a pre-collect notice before system turns over
account to the collection agency.