Billing and Insurance

Responsibility for payment

For our patients' convenience, TheSleepLab participates with and, in many cases, direct bills to a large number of insurance programs. However, the primary and ultimate responsibility for payment rests with the patient.

Payment at the time of service

At the time of service, evidence of current insurance coverage, in the form of your insurance card, is required as is payment for any co-pay or co-insurance you may be responsible for based on your plan. TheSleepLab accepts cash, check or Visa and MasterCard as payment methods. If you do not have insurance coverage for the procedure being performed, payment in full for the testing will be required at the time of testing unless arranged with our office in advance of your visit. To find out the charges for the testing you are scheduled for, please call our office during normal business hours.

Referrals and preauthorization

Most insurance programs require a referral from your doctor and/or preauthorization by the insurance carrier in order for insurance coverage to be provided. Your referring physician should provide you with the written referral order. TheSleepLab staff will assist you in obtaining any necessary preauthorization.

Please remember it is always the patient's responsibility to assure that proper referrals and any required preauthorizations are obtained. If you are not sure of what you need, please contact your insurance company or employer's benefits manager.

Insurance programs with which we participate

We participate in some or all of the traditional indemnity, PPO and POS programs of the following insurance companies and the HMO's of the insurance companies marked with an *:

  • Aetna*
  • Anthem (Trigon)
  • Carefirst
  • BlueCross/BlueShield network
  • Medicare
  • NCPPO
  • Tricare
  • Optimum Choice
  • MAMSI
  • PHCS

If your insurance company is not listed, please contact the billing department to see if we have recently added it to the insurance programs in which we participate.

As participation in programs changes from time to time, it is recommended that you confirm with our office at the time you schedule your appointment about whether we are currently participating with your specific plan.

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