This information is intended to be used as a guide to help you better understand the billing practices of Highline Labs.
Please read through the information below and feel free to contact our billing department directly at 866-799-9619, option 2 Monday – Friday, 9:30am-4:30pm EST, for any questions that you may have concerning billing.
Claims will be billed at Highline’s current chargemaster rates. We reserve the right to adjust the chargemaster rates without notice. Our default billing policy is to bill 2x the Medicare allowable rate for laboratory charges.
Highline will file a claim on your behalf with your insurance company for all laboratory services ordered by your provider and we do so with many different insurance companies. Please present your current insurance card at the time of your laboratory services; this ensures your most current information is on file. This is the best way to avoid issues with your testing coverage being denied.
If you are covered by Medicare, Medicaid, or Tricare, payment by your insurer is typically considered as payment in full.
If you have a private insurance plan, coverage for your test is determined by your individual policy. You may have shared costs due to co-pays, deductibles, or co-insurance. If you have questions about your policy coverage, please refer to the back of your insurance card for the best number to contact. It is required by law for Highline Labs to bill you for any patient responsibility as indicated by your insurance company. Highline Labs reserves the right to take any additional measures necessary to resolve outstanding patient balances.
All patients who are either uninsured or whose insurance is no longer active, will be deemed a Self-Pay Patient and billed by Highline directly. Highline reserves the right to adjust the rates charged to a Self-Pay Patient at any time without notice.
Patients requiring laboratory services as a result of a Worker’s Compensation claim may be required to submit additional information, such as insurer number, claim number, and/or date of injury, before the claim may be filed. Please provide as much information for these types of claims at the time of laboratory services to ensure the claim is filed with the appropriate responsible party. Typically, there is no patient responsibility for worker’s compensation claims, but this can vary depending on the insurance carrier.
Some insurers may send the insurance payment directly to the patient instead of Highline Labs. If you receive payment for our laboratory services, please forward the payment directly to Highline Labs and write on the back of the check “Pay to Highline Labs, LLC”, sign the check and provide a copy of the EOB and/or Highline statement when you mail it in. Failure to forward your insurance company’s payment, or cashing the check for other uses, may constitute insurance fraud. Highline Labs reserves the right to take any additional measures necessary to resolve outstanding patient balances. Please mail any insurance payments made directly to you to:
Highline Labs, LLC
5900 Northwoods Business Pkwy.
Charlotte, NC 28269
If you have questions as to why laboratory tests were ordered, please contact your provider’s office directly. We do not have access to your medical records and therefore are unable to provide any of these details.
If we file an insurance claim on your behalf, you will receive an Explanation of Benefits (EOB) from your insurance company. Please remember, AN EOB IS NOT A BILL. An EOB simply explains how your insurance benefits have been applied to the claim.
Highline offers several Financial Assistance Programs and Payment Plans for qualifying patients. For more information regarding the Financial Assistance Program or Payment Plans, please contact the Highline Billing Department at Billing@highline1.com.
Highline Labs may be able to offer a patient responsibility price at the point of service in some instances to be able to resolve any potential patient bills.
Only your provider can answer your questions regarding your results, what was ordered, and why. Only Highline Labs can answer questions about your bill. Please email email@example.com or call 866-799-9619, option 2, Monday – Friday, 9:30 am to 4:30 pm EST.
Highline Billing Practice
Private Health Insurance
Highline will bill your health insurance on your behalf. Your health insurance company will determine coverage and payment, as well as the amount for which you are responsible, such as co-pay or deductible, if any.
Highline will bill Medicaid directly
Highline will bill Medicare directly
No Health Insurance
Highline has financial assistance and cash pay options available
Highline will file the claims directly to Medicare, Medicaid, and many insurance companies and managed care plans on your behalf. Before you seek lab services, it is your responsibility to verify your insurance information is up to date with your provider’s office and whether your insurance carrier accepts claims from Highline Labs.
Once your insurer has processed your claim, you will receive an Explanation of Benefits (EOB) from your insurer informing you of the amount that they will be paying for your laboratory services.
An EOB is not a bill, but it may indicate a balance that is your responsibility. The balance may include your co-payment, deductible, or other costs outlined in your terms of coverage. If you have a question about your EOB or your terms of coverage, contact your insurance company.
Your insurer will inform Highline Labs about any balance you owe, and we will send you a bill for that amount.
If you are covered by more than one insurance plan, your primary insurer will process your claim first, and then any remaining balance will be billed to the secondary insurer. If a balance that is your responsibility remains after the secondary insurer has paid its portion of the claim, Highline will send you a bill for the balance due.
Sometimes your insurer may request additional information or documentation. This can delay the time for you to receive a bill depending on your insurer’s timelines and policies.
If you do not have insurance or your health care benefits do not cover clinical laboratory testing services, you will have to pay for the tests performed by Highline Labs. Highline reserves the right to adjust the rates charged to a Self-Pay Patient at any time without notice.
Highline Labs also has a Financial Assistance Program available for those who qualify. If you would like more information or to see if you may qualify, please call the billing department or email at firstname.lastname@example.org for a copy of the application and eligibility conditions.
NOTE: All billing policies are subject to change as regulation or regulatory guidance changes in order to remain fully compliant with healthcare rules and guidelines.