Billing Practices

When provided with the necessary information, Shiel Medical Laboratory will file a claim with your insurance carrier. The filing instructions will vary by the type of insurance you have:

Medicare

Shiel Medical Laboratory will accept as full payment 100% of Medicare’s allowed amount for a test. If Medicare pays less than the full amount of the allowed amount for any reason (for example, the policy only pays 80% of allowable or the coinsurance or deductible has not yet  been met) you are responsible for the difference between the allowed amount and the amount paid by Medicare.

Medicaid

Shiel Medical Laboratory will accept as full payment 100% of Medicaid’s allowed amount for a test.

Third Party Insurance Carrier

If we have a contractual relationship with your particular insurance plan, you will be responsible for co-insurance and deductible amounts as determined by your insurance carrier. In the event that we do not participate in your plan's network, we will accept what they determine as the reasonable and customary fee. You will be responsible for any co-insurance or deductible amounts determined by your insurance carrier.

Secondary Insurance

If you have secondary insurance that supplements your primary coverage, we will file the claim with your secondary carrier when provided with the necessary information.

General Billing Information

If Shiel Medical Laboratory does not have the complete or correct billing information, we will send you a bill for the full amount. If you provide us with complete and accurate insurance information, Shiel Medical Laboratory will then submit a bill to your insurance carrier on your behalf. If we have already billed the insurance company and have had no response from them after a reasonable length of time, you may receive a bill from Shiel Medical Laboratory for charges for services rendered. This is to avoid any possible timely filing issues with your insurance carrier. Shiel Medical Laboratory cannot accept responsibility for collecting the insurance claim or for negotiating a settlement on a disputed claim. If warranted, Shiel Medical Laboratory will work with our patients to establish reasonable payment arrangements.