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.
We will file a claim with your insurance company on your behalf for all laboratory services ordered by your provider.
If you have questions as to why any of these 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.
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.
We file claims for many insurance companies. Please make sure that your most current information is on file with your provider’s office. This is the best way to avoid issues with your testing coverage being denied.
If you have 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.
There are Financial Assistance Programs and Payment Plans available for qualifying patients. For more information regarding the Financial Assistance Program or Payment Plans, please contact the Highline Billing Department at Billing@highline1.com.
All “Self Pay” patients (those who are either uninsured or whose insurance is no longer active) will be billed at the Highline Labs self-pay prices at the time that the bill is generated.
A Workers Comp claim must be submitted with all information necessary such as insurer number, claim number, and date of injury, before filing the claim. Typically, there is no patient responsibility for workers compensation claims, but it can vary depending on the carrier.
Some insurers may send the insurance payment directly to the patient instead of Highline Labs. In the event that you receive payment for our laboratory services, please forward this 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. Mail your check to: Highline Labs, PO Box 481500 Charlotte NC 28269.
Once insurance payments are finalized, if there is a credit on your account, you will be refunded promptly.
Only your provider can answer your questions regarding your results, what was ordered and why. But only Highline Labs can answer questions about your bill and your financial responsibility.
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, please make sure your insurance information is up-to-date with your provider’s office and that 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. We will bill you at our self-pay prices at the time that the bill is generated.
Highline Labs also has a Financial Assistance Program available for those who qualify. If you would like more information, please call the billing department or email us at email@example.com for a copy of the application and 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.