Insurance providers and state laws require Gibson Diagnostics to bill patients for any applicable deductible, co-insurance and co-payment amount as reflected on the Explanation of Benefits (EOB). The patient liability amounts are determined by your insurance carrier, not by Gibson Diagnostics. Please remember, your EOB is not a bill. Gibson Diagnostics will attempt to appeal on your behalf any time charges are denied.
Workers’ Compensation patient charges will be billed directly to the Workers’ Compensation plans at our standard rates. Generally, no patient responsibility exists in these situations.
If you have any questions about statements you are receiving from Gibson Diagnostic Labs or to see if you qualify for financial assistance, please contact the Patient Billing Department at 855.890.9589 or billing@gibsondx.com
The Gibson Diagnostic Labs Team will be happy to answer any questions about your patient responsibility.
Some insurance carriers may send the insurance payment for services rendered by Gibson Diagnostic Labs directly to patients. Patients that receive a check for services provided by Gibson Diagnostics are obligated to forward this payment to Gibson Diagnostics. Please write on the back of the check “Pay to Gibson Diagnostic Labs”. Then sign and mail the check along with a copy of the EOB to:
Gibson Diagnostic Labs
PO Box 207051
Dallas, TX 75320
If patients do not forward these payments to Gibson Diagnostic Labs, Gibson Diagnostics may send these patients to a third-party collection agency. Withholding these payments can be considered healthcare fraud pursuant to 18 U.S.C. § 1347 and will be reported to your insurance carrier and possibly to the Internal Revenue Service.
For those insurance carriers that engage in this policy and for which Gibson Diagnostics is not contracted, Gibson Diagnostics typically does not hold the patients responsible for any balances above the amount they received and remitted back to Gibson Diagnostics as payment for services rendered.
All patients are encouraged to call the Patient Billing Department at 855.890.9589 if they have questions or concerns about their bill, Monday through Friday, from 9:00 am – 5:00 pm CT.
Gibson Diagnostic Labs understands that providing quality clinical diagnostic testing has associated costs, which may cause a financial hardship for some patients. Gibson Diagnostics is committed to working with patients and making the billing process as stress-free as possible while providing exceptional patient care. A patient statement will be issued when there is financial liability as indicated above and patients are encouraged to contact us to discuss financial assistance options. If you find yourself with a remaining balance that is creating a hardship for you or a loved one, you may apply for our Financial Assistance Program. We make the program available to our patients because we understand the cost of healthcare today may prevent you from acquiring the high-level of patient care you expect. The follow payment options are available to those who qualify:
Prompt Pay Discount – a discount may be offered for balances paid in full within 30 days of the initial statement.
Uninsured Discount – a discount may be offered to an individual who does not have medical insurance, is not eligible for healthcare coverage for services provided by the lab, coverage is denied as not reasonable and necessary, or the patient will not submit a claim to his or her insurer for the services provided.
Financial Assistance Program – financial support offered to patients qualifying for assistance to defray some of the testing costs. Patients are encouraged to contact us for an assessment of eligibility. You may expedite the process by completing a Financial Assistance Application and submitting all supporting documentation.
Payment Plans – a payment plan may be established for outstanding balances and will be determined on an individual basis. Please complete the Payment Plan Agreement.
All information subject to change without notice.
