PATIENT BILLING INFORMATION

Patient overview

SAMP Labs performs lab testing (“Testing Services”) for patients across the country at the request of their healthcare providers. SAMP Labs is sensitive to patient and provider concerns regarding insurance coverage and affordability for patients of medically necessary Testing Services and has negotiated “in-network” status with most major insurance companies, establishing financial support programs for patients with or without insurance. SAMP Labs complies with the “coordination of benefit” rules if multiple payers are involved (e.g., primary payer and secondary payer). This Patient Billing Overview is intended to provide healthcare providers and their patients with clear and consistent information about patients’ financial responsibilities for Testing Services

INSURANCE OVERVIEW

MEDICARE and MEDICAID Patients

SAMP Labs is enrolled in Medicare and in many state Medicaid programs, and accepts payment from Medicare or Medicaid for “covered services.” Medicare and Medicaid patients may have co-insurance responsibility, and SAMP Labs will follow the directive of the Explanation of Benefits (EOB).

commercial health plans FOR WHICH SAMP LABS IS "in-network)

As an in-network provider, SAMP Labs bills the insurance company directly and accepts payment from the contracted commercial insurer as payment in full unless the carrier requires patient co-insurance payments. Most commercial insurers require their beneficiaries to pay a co-payment and deductible. By contract, SAMP Labs is required to bill these patients for co-pays, co-insurance, and deductibles—in accordance with insurer instructions and with the directions of the explanation of benefits (“EOB”).

commercial health plans for which samp labs is "OUT-OF-networK"

SAMP Labs accepts payment for its services from all commercial health plans, although SAMP Labs has not been given the opportunity to contract with all commercial health plans, SAMP Labs bills non-contracted insurers at SAMP Labs standard third-party insurance prices and accepts the amounts paid by the insurers as payment in full. To the extent that the plan requires a patient coinsurance, SAMP Labs will use reasonable efforts to collect the required patient coinsurance. SAMP Labs will apply in-network rates for patients living in a state that regulates laboratory services.

NON-COVERED SERVICES

Some types of testing may not be covered by a patient’s insurer (commercial or governmental) in any case. SAMP Labs test request form is designed to provide patients with advance written notice, at the time of specimen collection, that if their insurer does not cover the testing, the patient will be expected to pay for the testing. Similarly, for SAMP Labs testing services that are not expected to be covered by Medicare, SAMP Labs may request a signed Advance Beneficiary Notice (“ABN”).

WORKERS' COMPENSATION PATientS

Laws regarding workers’ compensation vary from state to state. Consult SAMP Labs’ Compliance Officer and/or legal counsel to determine the process for billing in that particular state.

SELF-PAY Patients

SAMP Labs generally bills Self-Pay Patients who do not have medical insurance at SAMP Labs’ patient list price. However, Self-Pay Patients may apply for the SAMP Labs’ Prompt Pay Discount and/or the SAMP Labs Patient Assistance Program.

patient prompt-pay discount

To encourage and reward the prompt payment of any patient charges for Testing Services, SAMP Labs offers to Self-Pay Patients a discount of thirty percent (30%) from SAMP Labs’ patient list price (the “Patient Prompt-Pay Discount”). The Patient Prompt Pay Discount requires the patient to make payment within the industry standard reimbursement cycle time frame after the date of SAMP Labs’ first billing statement to the patient.

patient assistance program

As part of SAMP Labs’ commitment to patient care, SAMP Labs works with providers and their patients to address patient financial responsibility in a manner that is fair and sensitive to individual patient and household circumstances. SAMP Labs has instituted the SAMP Labs’ Patient Assistance Program, allowing for patients whose documented household financial resources and/or income fall at or below 300 percent of the Federal Poverty Level to qualify for hardship discounts ranging, on a sliding scale, from 0 to 75 percent of SAMP Labs’ standard patient list prices.

insurance payments made directly to patients

Some insurers may send the insurance payment for SAMP Labs testing services directly to patients. Patients that receive a check for services provided by SAMP Labs are responsible for forwarding this payment to SAMP Labs. Please write on the back of the check “Pay to SAMP Labs LLC,” include a signature and mail to SAMP Labs at the address below:

SAMP Labs
18000 Jefferson Park Road, Suite 101
Middleburg Hts. OH, 44130

If patients do not forward the payments to SAMP Labs, SAMP Labs may send these patients to an outside collection agency.

we are here to help...

CALL OUR BILLING TEAM TODAY!

All patients are encouraged to contact SAMP Labs Billing Services if they have questions or concerns about their bill by sending a secure email to b [email protected] or by phone at (440) 297-4100 on Monday through Friday, from 8:00AM – 4:00PM Eastern Time.

All information subject to change without notice.