Office Hours: 7:00am to 7:00pm CST - 888.344.1160 - Fax: 972.331.3148
Email us at billingwebinquiry@carisdx.com
Statement on Caris Diagnostics Billing of Professional and Technical Services
Insurance Billing
Certain payers (examples: BCBS of Texas, some Medicaid plans, etc.) would prefer that the performing entities for laboratory services bill for their own services, meaning the physicians bill for their services and the laboratory bills for their services.
Due to this happening, some patients may see two EOB’s (Explanantion of Benefits) from their insurance company, one for the professional component and one for the technical component, similar to what would happen if the laboratory services were rendered at a hospital. If a co-payment is required from the patient they will possibly receive two statements for the copay, one from each entity. If there are any questions, please contact the billing office: 7:00am to 7:00pm CST - 888.344.1160 - Fax: 972.331.3148
Commonly Asked Questions
Why did it take so long to get my first bill?
Typically, it takes 60 days or more for insurance companies to respond to Caris Diagnostics’ claims. Sometimes the insurer’s response to Caris Diagnostics is that more information is needed in order to process the claim. The billing cycle then restarts and may repeat itself several times.
Caris Diagnostics attempts to collect our claims from your insurance company without bothering the patient in the process. As a result, by the time the insurer calculates your financial responsibility and you receive an invoice from Caris Diagnostics, it may be more than four or five months after the date of service.
I received an EOB from my insurance company. Does it require further action?
An Explanation of Benefits (EOB) is a notification form that your insurance company sends to you after processing a claim. An EOB is not a bill. It is only an estimate of your financial responsibility. The only time you should pay Caris Diagnostics is if you receive an invoice from us. Caris Diagnostics will treat all patients as if in-network even if we are an out-of-network provider.
Why did I receive a bill from a pathology company?
When a physician performs a surgical procedure, several healthcare providers participate. For example, a surgery center, anesthesiologist, radiologist, and pathology lab may all assist the surgeon. These independent providers bill your insurance company directly for these services. If you or your insurance company received a bill from Caris Diagnostics, it is because we provided pathology lab services to your physician on your behalf.
What should I do with the bill I received from Caris Diagnostics?
Co-insurance, Co-payments and Deductibles:
Your bill from Caris Diagnostics usually pertains to a deductible or copayment according to the terms of your contracted in-network benefits with your insurer.
Incorrect or Incomplete Information:
You may receive a bill from Caris Diagnostics if it appears that you do not have insurance coverage or if the information provided to Caris Diagnostics was incomplete or inaccurate. Please call us to correct the information for re-filing and also call your doctor’s office to insure they have the proper information.
No Response From Insurance Company:
You may receive a bill from Caris Diagnostics if your insurer does not respond in a timely manner to a claim
submitted. Please call Caris Diagnostics’ billing office at 888.344.1160 to ensure that we have the correct information, and we will resubmit the claim to your insurer.
Bill Payment Information:
To pay your bill, send check or money order to: P.O. Box 844117, Dallas, Texas 75284 or pay online at
www.carisdx.com. Click ‘Patient Bill Pay’ at the top of the page. For additional options call 888.344.1160.
I have a secondary, or supplemental, insurance policy. How does that affect me?
Caris Diagnostics will file all secondary, or supplemental, insurance claims on your behalf. If you receive an invoice from Caris Diagnostics and believe that a secondary claim has not been filed, contact Caris Diagnostics’ billing office to verify. (Please make sure that your doctor has the necessary information on all of your insurance policies prior to your procedure.)
Who can I contact if I have additional billing questions?
Contact the Caris Diagnostics’ billing office at the number below. Please have your account number (found on your bill) and insurance policy number (from your insurance card) available.
Office Hours: 7:00am to 7:00pm CST - 888.344.1160 - Fax: 972.331.3148
Email us at billingwebinquiry@carisdx.com