Specimen collection services are private pay.
Insurance is collected for the testing laboratory to bill for tests being performed.
Payments that have not been prepaid will be
due at the time of service.
Commonly Accepted Insurances
A Preferred or Exclusive Provider for Select Private Health Plans
Aetna (All Plans & Products)
Cigna (All Plans & Products)
Coventry Health Care Inc., - (MHBP, Inc.)
Grand Valley Health Plan
Humana (All Plans & Products)
Medical Mutual of Ohio
UPMC Health Plan (All Products)
Private Health Plans Accepted
Accountable Health Plan
Advantage by Buckeye Community Health Plan (Centene)
Aetna Better Health of Michigan
Ambetter from Buckeye Community Health Plan (Centene)
Ambetter from MHS Indiana (Centene)
Amerihealth Mercy of Michigan / Amerihealth VIP Care
Anthem BC/BS (All Products)
ASR Corp. TPA*
Bay Health Plan
BCBS of Michigan (BCBSM) • Commercial, Medicare Advantage, Federal
Beech Street A Multiplan Network (All Plans and Products)*
Berrien County Health
Blue Card® - Blue Cross Blue Shield
Blue Care Network (BCN)*
Buckeye Community Health Plan (Centene)
Care Improvement Plus (owned by UnitedHealthcare**)
CareSource / McLaren Health Plan
Central States Team Care
CNA Health Partners
Cofinity/ Preferred Providers of Michigan (PPOM)
Commerce Benefits Community Care Network (CCN)*
Consumers Mutual Insurance of Mutual Private Health Plans Accepted (cont.)
EmblemHealth: GHI, HIP, Perfect Health, VYTRA Health Plan Evolutions HealthCare Systems
Federal Employee Program (FEP) BlueCross BlueShield
Fidelis Secure Care
First Health Network/Health Care Compare (Coventry Health Care)*
Galaxy Health Network
GEHA (Government Employee Health Association)
Genesee Health Plan
Great Lakes Health Plan/UHC Community Plan
Harbor Health Plan
Harmony Health Plan
Health Alliance Plan (PPO, EPO, POS,EPA)
Health Care Services Corporate (HCSC)
Private Health Plans Accepted (cont.)
HealthPlus of Michigan
HealthSmart Preferred Care
Interlock / BRMS
Kalamazoo County Health
Kent Health Plan
Lab Card (Exclusive Provider- 100% Coverage)
Managed Care of America
Managed Health Services Indiana (Centene)
McLaren Health Plan
Meridian Health Plan of Michigan
MESSA MultiPlan (All Groups)*
National Association of Letter Carriers
(NALC) 100% coverage NGS American*
North American Administrators*
Ohio Health Choice
Ohio Preferred Network
Paramount Care (All Products)
Physicians Health Plan of Mid-Michigan
Physicians Health Plan of N. IN
Preferred Health Plan
Preferred Providers of Michigan
Preferred United Plan of MI, Inc.
Primary Health Services
Private Health Care Systems (PHCS)*
Provider Networks of America (Pro-Net)
Sagamore Health Network*
Saginaw Health Plan
SAMBA Health Plans 100% coverage
Shasta Administrative Services
Total Health Care
United Mine Workers of America
Upper Peninsula Health Plan
USA Managed Care Organizations
Wellborn Health Plan
Key Employer Relationships
BCBSM (Delphi, Ford, GM, MPSERS,TRW)
State and Federal Government Program Providers
Medicare Supplement Insurance (Medigap) e.g. AARP
Ryan White HIV/AIDS Program
• Health Net Federal Services • Humana Military • UHC Military West
QUESTIONS ABOUT YOUR BILL
What billing or insurance information will I receive?
Payments received at the time of service will not be billed. Specimens sent to laboratories will be billed through insurance. Bills from insurance are from the lab tests performed, not from PMP.
How long will it take to get things settled with the insurance company?
Generally, it takes from 45 to 60 days to obtain payment from an insurance carrier.
Why am I getting bills from physicians?
Each physician who provides professional services will send you a separate bill from his or her office. These physicians will include:
- your own physician
- other physicians who conducted tests and procedures
- consulting physicians chosen by your primary physician to read and interpret test results.
-These physicians may include specialists in anesthesiology, cardiology, emergency medicine, nuclear medicine, pathology, radiology, or urodynamics. You will be responsible for paying these bills as well.
I received a notice that my insurance company has paid on my bill -- but I can't understand how they calculated their payment amount. Do you know?
If we have received any such information from your insurance company, we'll be glad to share it with you. However, for answers to any questions about insurance payments, deductibles, or co-payments, you generally need to check with your insurance company.
Cancellation/ No Show Policy for Lab Appointment
We understand that there are times when you must miss an appointment due to emergencies or obligations for work or family. However, when you do not call to cancel an appointment, you may be preventing another patient from getting much needed treatment.
Conversely, the situation may arise where another patient fails to cancel and we are unable to schedule you for a visit, due to a seemingly “full” appointment book.
If an appointment is not cancelled at least 24 hours in advance you will be charged a fifty dollar ($50) fee; this will not be covered by your insurance company.
The Privacy and Security Act require health care providers and other covered entities to properly manage how patient information is obtained, maintained, and disclosed to keep patients PHI protected and secure. Pinnacle Mobile Phlebotomy, LLC abides by all HIPAA regulations.