Billing Policies

Quality Laboratory Service has become a “one-stop shopping” laboratory. We take all steps to triage every test request to the appropriate laboratory, saving the client from having to sort out what tests go where. If a test is not yet established as a send-out here, we do the research to find the laboratory that performs the assay, reviewing price, and turn-around time. Referred tests are loaded into our computer just like an in-house test, so all test information is available to Client Services and data linked users.

For information on tests not listed in this Directory, contact the Send-out Coordinators at 718-646-5100. Our goal is to respond within two hours to all inquiries received during normal business hours.

Client Billing
Quality Laboratory Service will bill the hospital; reference Laboratories, industrial client, clinic or medical group when applicable under New York State regulations. Our Accounts Receivable and Billing Specialists, 1-718- 570-8080, are available to answer questions and resolve any problems you may have. Any discrepancies in billing should be reported to Accounts Receivable and billing immediately. All bills are due and payable upon receipt.

Patient Billing
Quality Laboratory Service can bill the patient directly if complete billing information is provided on the Quality Laboratory Service Test Requisition Form at the time the specimen is submitted. If you have arranged for Quality Laboratory Service to bill the patient directly, please advise the patient to expect a bill from Quality Laboratory Service Laboratory.

On Quality Laboratory Service's Test Requisition Form please include:

1. Patient's Full Name
2. Patient's Current Address with Apartment Number and Zip Code
3. Patient's Current Phone Number with Area Code
4. Guardian's (Responsible Party's) Full Name, Address and Phone Number

Quality Laboratory Service's Patient Invoices are designed for direct submission to the patient's insurance company. The patient is solely responsible for the charges. Patient bills are due upon receipt.

Third Party Billing
Quality Laboratory Service will bill the patient's insurance company directly if the following information is provided:

1. Patient's Full Name
2. Patient's Full Address
3. Guarantor's (Insured) Name (if different from patient)
4. Insurance Company's Complete Name and Address
5. Guarantor's (Insured) Group Number
6. Guarantor's (Insured) Policy Number
7. Proper ICD-9-CM Diagnosis Codes

Patients are responsible for yearly deductibles, co-payments and any balance not covered by the insurance company.

Medicare Billing
If your patient has Medicare coverage, please send us complete information. Quality Laboratory Service will bill Medicare and accept assignment. Complete information must be entered on the Quality Laboratory Service Test Requisition Form at the time the specimen is submitted. Quality Laboratory Service’s Medicare Provider number is # 54202.

Please provide:

1. Patient's Full Name (as it appears on the card)
2. Patient's Current Address with Apartment Number and Zip Code
3. Patient's Current Phone Number with Area Code
4. Patient's Gender
5. Patient's Date of Birth
6. Medicare HIC # (9 numeric + 1 alpha suffix)
7. Diagnosis (ICD-9-CM code) (One code for each test ordered) (Refer to page 73 for a list of current tests requiring justification of medical necessity
8. Referring Physician's Name (First & Last)
9. Referring Physician's UPIN (5 digits with alpha prefix)*

*This number must be included on Quality Laboratory Service's Test Requisition Forms at time of service unless the referring client is a regular Quality Laboratory Service account on file.