As specimens are sent to us, the charges for the tests ordered accumulate on your account. An itemized monthly invoice will be mailed to you. This invoice will indicate the date of service, patient name, CPT code, test name and test fee. Terms of payment are due upon receipt. Please return the top portion of the invoice along with your check made payable to Cedars-Sinai Laboratory Services. Any balance over 30 days is subject to a penalty charge of 1% per month until fully paid. Clients will be responsible for all collection and legal costs related to this account. Any billing errors must be reported within 15 days.

To accommodate direct patient billing requests, all test requisition forms must provide the patient's name, age and sex, current street address, city, state, zip code, telephone number, social security number and a copy of California ID or California Driver's License. Please advise your patients that they will receive a bill from Cedars-Sinai Laboratory Services. VISA, MasterCard and American Express are acceptable forms of payment.

We will bill third party payors directly upon request. Complete the test requisition form and include the patient's current address, date of birth, sex, a copy of California ID or California Driver's License, physician's name, Unique Physician Identification Number (NPI#), and ICD-9 diagnosis code. Also, provide the insurance company¿s billing address, policy number, and/or group number, and a copy of the front and back of the insurance card.

Request for Medicare and Medi-Cal billing requires that the test requisition form is completed with the following information: patient's Medicare or Medi-Cal number, date of birth, sex, current home address, ICD-9 diagnosis code, referring physician's name, NPI# and state license number. A copy of the patient's Medicare card or Medi-Cal proof of eligibility must be sent with each request for Medicare or Medi-Cal billing. As appropriate, an ABN should be obtained for Medicare patients whenever ordering physician has reason to believe that Medicare will not cover the requested test(s).

Authorization is required from the referring physician for all HMO billing. If authorization is not provided and payment is denied, the physician/clien will be billed.

Your office will be contacted by mail, if any of the following information is missing from the requisition: date of birth, current patient address and ICD-9 code. If information is not returned within seven days, the physician / client's account will be billed.

Please refer to the Quick Guide to Required Billing Information for proper completion of test requisitions. A schedule of physician / client fees is included with this guide to laboratory services. Prices are subject to change. For a schedule of patient / third party fees, please contact Customer Service at (310) 423-2200, press "2".

The CPT code(s) published in this Services Guide are provided for informational purposes only. The codes reflect our interpretation of CPT coding requirements, based upon AMA quidelines published annually. CPT codes are provided only as guidance to assist you in billing. CSLS strongly recommends that clients confirm CPT codes with their local intermediary or carrier, as requirements may differ from one carrier to another. CPT coding is the sole responsibility of the billing party. CSLS assumes no responsibility for billing errors due to reliance on the CPT codes listed in this Services Guide.