Become a Patient

National Jewish Health Clinical Laboratory Financial Policies

National Jewish Health will bill a facility, hospital, laboratory, industrial client, clinic, medical group practice as well as Medicare and Colorado Medicaid as designated on the Requisition Form.

No HMO assigned coverage under Medicare and Medicaid, nor any other HMO coverage, will be accepted unless approved by the Laboratory Director prior to specimen submittal. Any specimens submitted without such prior approval that are accidentally processed by National Jewish Health will be the financial responsibility of the submitting client.

National Jewish Health does not verify insurance coverage for any specimen requiring prior approval.

Complete, legible and accurate information must be provided on the Requisition Form in order for a specimen to be processed. Incomplete information will cause delay or denial of the submitted specimen assay. No charge will be made for a cancelled test if we are notified before the test has been set up. Tests that have been set up or completed cannot be cancelled and will be billed accordingly.

Medicare or Colorado Medicaid

The following information is required for Medicare or Colorado Medicaid:

  • Patient's name
  • Patient's date of birth
  • Patient's sex
  • ICD-9 code(s) for each test
  • Patient's complete address
  • Patient's phone number
  • Patient's Medicare or Colorado Medicaid ID number, as appropriate
  • If Medicaid, the Medicaid authorization number
  • Patient's social security number
  • Physician name and UPIN number

Facility Billing

The following information is required for Facility billing:

  • Patient's name (or other identifier)
  • Patient's date of birth
  • Patient's sex
  • ICD-9 codes for each test
  • Facility name
  • Facility contact person for results
  • Facility address for results
  • Facility address for billing (if different)
  • Facility phone number
  • Facility fax number
  • Facility contact person for billing issues

Direct Patient Billing

The following information is required for direct Patient billing:

  • Patient's name
  • Patient's date of birth
  • Patient's sex
  • ICD-9 code(s) for each test
  • Insured's name
  • Insured's social security number
  • Insured's medical insurance policy number
  • Insured's group number
  • Authorization number (if available)

CPT Codes

CPT codes assigned to test descriptions are for guidance purposes only and are an interpretation by National Jewish Health. National Jewish Health assumes no responsibility for errors as a result of reliance on CPT codes listed herein; it is the client's responsibility to verify the accuracy of the CPT codes used for tests performed.

Collections

Should National Jewish Health be required to take collection action on a client's account, the client will be responsible for all expenses incurred by National Jewish Health in the pursuit of such monies owed.

Note: This information is provided to you as an educational service of National Jewish Health. It is not meant to be a substitute for consulting with your own physician.

© Copyright 2008 National Jewish Health