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Getting Blood work Bill directly from Lab

Posted on 1/29/25 at 3:48 pm
Posted by deeprig9
Unincorporated Ozora
Member since Sep 2012
70197 posts
Posted on 1/29/25 at 3:48 pm
Routine physical at my PCP who took blood, sent it off to their lab. I paid the PCP for the visit. Why am I getting billed directly from the lab for a routine blood panel? Do I just tell them to frick off? Do I actually owe them this money? Is this one of those deals where they "accidentally" send out $8.14 bills to a million customers because thousands will simply pay it?

What's the scam here?
Posted by voteupdownguy
Gonzales
Member since Jan 2022
24 posts
Posted on 1/29/25 at 3:54 pm to
Two different services provided by two different companies. You owe. It is standard.
Posted by Spankum
Miss-sippi
Member since Jan 2007
58369 posts
Posted on 1/29/25 at 3:54 pm to
It is prolly the primary trying to get more out of your insurance….apparently, it didn’t work!

I would do some further investigating, as your doctor might be in network but the lab may not be. Chances are, you’ll have to pay it…but you need to know what is going on.
Posted by NewOrleansBlend
Member since Mar 2008
1141 posts
Posted on 1/29/25 at 3:55 pm to
Your PCP probably ordered a test that wasn’t covered by your insurance. I usually get an $8 bill when I get an apo B level drawn. I don’t think these huge companies are trying to scam you for $8.
Posted by Salmon
I helped draft the email
Member since Feb 2008
85083 posts
Posted on 1/29/25 at 3:55 pm to
You could just call your PCP and ask them
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
35185 posts
Posted on 1/29/25 at 3:57 pm to
Why would the lab not bill you?
Posted by deeprig9
Unincorporated Ozora
Member since Sep 2012
70197 posts
Posted on 1/29/25 at 3:57 pm to
Do you get an EOB from your ins to validate it, or do you just pay it like a good little boy?
Posted by Spankum
Miss-sippi
Member since Jan 2007
58369 posts
Posted on 1/29/25 at 4:00 pm to
quote:

Your PCP probably ordered a test that wasn’t covered by your insurance


Right…his pcp probably owns the lab, too.
Posted by deeprig9
Unincorporated Ozora
Member since Sep 2012
70197 posts
Posted on 1/29/25 at 4:11 pm to
quote:

Why would the lab not bill you?


I have blood done every time I go and never been billed by the lab.
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
35185 posts
Posted on 1/29/25 at 4:40 pm to
The lab has to be a separate entity than the PCP and they should be billing you every time.
Posted by kywildcatfanone
Wildcat Country!
Member since Oct 2012
130027 posts
Posted on 1/29/25 at 4:43 pm to
Very normal billing by different entities. Are you new to medical billing?
Posted by K9
wayx....BOBO IN '19 &lt-- oops
Member since Sep 2012
26844 posts
Posted on 1/29/25 at 4:44 pm to
Had a similar situation with my wife except they sent her sample to an out of network lab. She called and bitched out the PCP and we didn't have to pay.

Medical debt is a joke anyway. Who cares.
Posted by Vincenzo Pantangelli
Member since Nov 2024
1410 posts
Posted on 1/29/25 at 4:49 pm to
It depends on your n'surance. The lab always tells me that I may get a bill if ins co doesn't cover all of it. Glad they do b/c that can get expensive. Blood work is a big money maker for hospitals.
Posted by Dixie2023
Member since Mar 2023
3431 posts
Posted on 1/29/25 at 4:50 pm to
Who wants to and up in collections and have it on credit report? Or be sued for some small amount. It’s a joke, but we lose.
Posted by roadGator
Member since Feb 2009
149404 posts
Posted on 1/29/25 at 4:52 pm to
No scam in this case.

I understand being leery of balance billing but this isn’t it.
Posted by Morpheus
In your Dreams
Member since Apr 2022
6062 posts
Posted on 1/29/25 at 4:54 pm to
I’d certainly pay what you owe or negotiate if it’s high.

Not paying anything with the big Labs like LabCorp and Quest and many other will result in them Fukin ur credit.
Posted by Finch
Member since Jun 2015
3506 posts
Posted on 1/29/25 at 4:56 pm to
quote:

It is prolly the primary trying to get more out of your insurance….apparently, it didn’t work! I would do some further investigating, as your doctor might be in network but the lab may not be. Chances are, you’ll have to pay it…but you need to know what is going on.


This is not it

What more than likely happened is the PCP ordered a lab that your insurance refused to pay for or the lab charged X and the insurance would only pay for Y which was less
Posted by MBclass83
Member since Oct 2010
9764 posts
Posted on 1/29/25 at 5:02 pm to
Sometimes you get a bill from the lab because the Pathologist bills for reviewing your results. They never do unless the results are extremely abnormal.
Posted by jeffsdad
Member since Mar 2007
23328 posts
Posted on 1/29/25 at 5:14 pm to
GoFund account needed.
Posted by LSUfan4444
Member since Mar 2004
55632 posts
Posted on 1/29/25 at 5:23 pm to
Call your insurance company to confirm your coverage for labs. Then have them go over the claim and bill to determine what your appropriate cost sharing should be

It could be a few different things, but without knowing your policy or the lab I wouldn’t be able to tell with certainty.

It could be that the lab was out of network for your plan. It could be that one of the test ordered was not covered by your plan. It could be that The lab never even submitted a claim to your insurance company. Best bet is to look at your explanation of benefits or call your insurance carrier to confirm what you should owe.
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