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| Patient Billing Information | Healthcare Provider Billing Information | Pay My Bill | Contact Billing | FAQ's | Update My Insurance/Address |
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CompuNet will bill the physician, the patient, or selected third parties, according to your preference indicated on the test request form. Please ensure that all information is complete to avoid being billed for the tests.
- Check the “Third Party” box in the top center of the requisition.
- Patient’s Date of Birth and Sex is required.
- Indicate the person completing the requisition.
- Indicate relationship to the Insured.
- Complete the billing information on the right side.
Patient Name, Address, City, State, Zip and Phone
- ICD-9 Diagnosis Code required for reimbursement.
- Record the Patient’s Medicaid Number in the proper spaces. A complete Medicaid number will be a 12-digit number, with all digits required for claims processing. Two patient numbers are present on the
Medicaid card. Please use care to submit the billing number, not the case number.
For example: 579123456789
- Various county Medicaid programs exist such as CareSource, Molina, AmeriGroup, etc. The identification numbers for these plans will be 11 digits. This is found in the boxed area of the member ID card.
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