Pacific Rim Pathology does NOT handle billing inquiries directly
Frequently Asked Questions
The patient care process includes work that is performed face-to-face (i.e. a patient visiting a doctor at a clinic, getting examined, etc.) and work that is performed behind the scenes at a laboratory (creating slides from specimen, analysis, etc.). While a patient may visit a specific doctor or specialist for their in person appointment, the specimen analysis/work performed may be done entirely by another doctor behind the scenes. These are our pathologists; a doctor that specializes in the study of diseases.
Thus, even though you did not directly receive patient care from one of our doctors, they may have still worked on your case which led to this charge.
If you should receive a direct bill indicating that you have a balance due, please call PDM, our third party billing, at (888) 843-6475 to verify the amount due and to discuss possible payment options. If you have any specific questions regarding your bill, they will be able to address any issues more effectively than our on-site staff.
The amount you may have to pay for testing will depend upon your specific plan benefits. In all cases, if a co-payment, deductible or coinsurance is required by your plan, we are required by law to bill you directly for these amounts.
All patients are encouraged to contact their insurance carrier to understand and confirm their specific insurance coverage prior to testing, and to obtain any necessary prior authorization.
Ask your insurance provider the following questions:
- Is Pacific Rim Pathology in network? (Provide tax id number 330766564)
- Is my test covered? (Provide CPT code (Example: NIPT – 81420))
- What is my patient responsibility?
Remember you will owe your copay PLUS what you still owe to meet your deductible.
We are a participating provider with many major health plans, state Medicaid programs, and Medicare. However, we may not be an in-network provider for your health plan. In addition, certain genetic tests we offer may not be covered by state Medicaid. To find out more, please call the billing department at [INSERT # HERE].
Pacific Rim Pathology has many contracts with national and regional health plans throughout the United States. A patient’s financial responsibility depends on the benefits provided by the patient’s health insurance plan. We will bill the patient for any co-pay, deductible, coinsurance, or required amount after we have received the explanation of benefits (EOB).
In addition, some health plans require the health care provider to call for prior authorization before the patient receives testing or counseling. Failure to obtain prior authorization may increase the patient responsibility portion of the bill. The patient should check with their health insurance plan and doctor’s office about obtaining prior authorization before receiving services from Pacific Rim Pathology, and be sure the authorization number is provided with the requisition form for the test.
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Did you know that you can pay your bill online?
You may pay your bill online thought PDM’s online web portal. All you’ll need are the CodeID and Access # provided on your billing statement (highlighted in the sample image below). Log these into the input fields on the web portal page and click submit to proceed with the payment process: