CALL QUEST DIAGNOSTICS BILLING DEPTARTMENT CODE
Additionally, may include account number on the claim, provider number and the name of the provider.Ī code representing the service provided. Payee (Quest Diagnostics) name and mailing address. This includes "not covered" amounts,"deductible amounts," and any percentage of balance, if payment is less than 100%.Note: Although copays are not a part of this calculation, they are also the patients responsibility. Various information including patient name, patient Id number, responsible party, subscriber, insureds name, employees group number.Īmount patient owes provider (Quest Diagnostics). The patient may be responsible for this amount. The section of an EOB that details how payments were made and explains any payment codes used.Ī specific service that is excluded from a contract and is considered non-payable by an insurance company. "UCR" stands for usual, customary and reasonable. The portion of the total charges that is greater than the allowed charges this amount is based on the contractual agreement between the insurance company and Quest.
The date on which the laboratory testing was performed.Ī specific annual dollar amount that must be paid by the patient before the patients insurance will begin reimbursing for covered services. The amount required to be paid by the patient. Indicates the amount owed by another insurance company when the patient has additional insurance coverage. The portion of the total bill that is NOT owed to Quest Diagnostics (by the insurance company and/or the patient) this amount is based on the contractual agreement between the insurance company and Quest Diagnostics. The portion of the allowed charges (usually a certain percentage) that is the patients responsibility. The number assigned by an insurance company to a particular patients bill this number is often provided on the insurance companys response to Quest Diagnostics. Capitated clients usually provide services for HMOs. These are clients (HMOs, IPAs, physicians, etc.) who generally pay a fixed rate based on a number of members per month and/or volume of tests. The amount the insurance company approved for processing. The portion of the total bill that has been paid by the insurance company. The following table lists some common language and information found on EOBs. Most insurance companies use their own format for EOBs. Generally, it indicates what was paid and/or what was denied. Insurance Terms: Billing Services Understanding the Explanation of Benefits (EOB) received from your insurance company.Īn EOB is a document sent by insurance companies that explains how a claim was processed.