RealTime Lab is an Out-Of-Network provider with all insurance companies including all Medicare Advantage plans. Our lab will file your insurance claim electronically for each patient for an additional fee of $30 (this excludes all Medicare Advantage claims – patients must file themselves). If patients are choosing this option, please initial in the appropriate area on the credit card authorization form and include the additional fee in the total price of the test.
- Provide Copy of Insurance card (front and back)
- Provide Copy of Picture Identification for Patient (If not a minor)
- Provide Copy of Picture Identification for Primary Insured (other than the patient)
- Provide Primary Insured Date of Birth (if not already on picture identification card)
Our Medicare Patients:
RealTime Lab is an Authorized Medicare Provider
- $30 Insurance filing fee is waived
- Please Note: Advance Beneficiary Notice (ABN) of Non-Coverage located on the second page. Read and check off the test that you are taking and the options that are appropriate to you and your situation.
- Date and sign the ABN form
- Provide Copy of your Medicare Insurance card (front and back)
- Provide Copy of Picture Identification for Patient (i.e. driver’s license)
- RTL does not file claims for any Supplemental Medicare plans; therefore full payment for your test will be required