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In order to assure patient insurance claims are submitted accurately, detailed billing information is required.  Please be sure that the following information is included on each requisition submitted unless we are billing your office directly:

  • Patient's full legal name, social security number and date of birth
  • Gender
  • Ordering clinicians name
  • Laboratory test(s) requested are clearly indicated
  • ICD-10 code(s) or narrative diagnosis
  • If the patient or third party carrier is to be billed
    • Patient's complete address and phone number
    • Insurance company name and claim address
    • Subscriber name
    • ID Number
    • Group Number

If an Advanced Beneficiary Notice is completed, please attach to the requisition and forward with the specimen to the laboratory.