PAYMENT POLICY

We are a private pay service. Specimen collection services are provided and billed by Pinnacle Mobile Phlebotomy.  Laboratory testing is billed through your insurance. Payments that have not been prepaid will be due at the time of service. 

Insurances Accepted by Most Labs

A Preferred or Exclusive Provider for Select Private Health Plans

Aetna (All Plans & Products)

Amerigroup

Assurant Health

Cigna (All Plans & Products)

Cigna-HealthSpring

Coventry Health Care Inc., - (MHBP, Inc.)

Grand Valley Health Plan

Humana (All Plans & Products)

Medical Mutual of Ohio

Molina Healthcare

ProCare

UPMC Health Plan (All Products)

 

Private Health Plans Accepted

Accountable Health Plan

Admar Corporation

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

BCCCP

Beech Street A Multiplan Network (All Plans and Products)*

Berrien County Health

Blue Card® - Blue Cross Blue Shield

Blue Care Network (BCN)*

Blue Choice

Buckeye Community Health Plan (Centene)

Care Improvement Plus (owned by UnitedHealthcare**)

CareSource / McLaren Health Plan

Central States Team Care

ChampVA

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.)

CoreSource/PHCS*

EmblemHealth: GHI, HIP, Perfect Health, VYTRA Health Plan (All Plans & Products)

Evolutions HealthCare Systems

Federal Employee Program (FEP) BlueCross BlueShield

FedMed

Fidelis Secure Care

First Health Network/Health Care Compare (Coventry Health Care)*

FrontPath

Galaxy Health Network

GEHA (Government Employee Health Association)

Genesee Health Plan

Genesys PHO

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

Healthspan*

Interlock / BRMS

Kalamazoo County Health

Kent Health Plan

Lab Card (Exclusive Provider- 100% Coverage)

Lutheran Preferred

Macomb County

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)

PayerFusion

Physicians Health Plan of Mid-Michigan (Ask Sales Representative for participating service area and Zip codes)

Physicians Health Plan of N. IN

POMCO.

Preferred Health Plan

Preferred One

Preferred Providers of Michigan

Preferred United Plan of MI, Inc.

Primary Health Services

PrimeNet

Priority Health

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

Smart Health

Total Health Care

United Mine Workers of America

UnitedHealthcare**

Upper Peninsula Health Plan

USA Managed Care Organizations

Wellborn Health Plan

Key Employer Relationships

BCBSM (Delphi, Ford, GM, MPSERS,TRW)

Costco

Home Depot

United Airlines

State and Federal Government Program Providers

Indiana Medicaid

Medicaid Traditional

Medicare Supplement Insurance (Medigap) e.g. AARP

Medicare Traditional

Michigan Medicaid

Ohio Medicaid

Railroad Medicare

Ryan White HIV/AIDS Program

TRICARE

• 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.

1. 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.

2. Scheduled Appointments
We understand that delays can happen however we must try to keep the other patients and technicians on time.

If a patient is 20 minutes past their scheduled time we will have to reschedule the appointment. 

Patient Privacy:

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.

Pinnacle Mobile Phlebotomy, LLC

27620 Farmington Rd. B2

Farmington Hills, MI  48334

 

Phone: (877) 678-9551

     Fax: (877) 678-3727

Website: www.thephlebotomist.net

Email: info@thephlebotomist.net

Certified by the Clinical Laboratory Improvement Amendments (CLIA) CLIA ID 23D2061346