Don’t Fear the Costs

RealTime Labs will help you save money!

Out-Network Guidelines

As of January 1st 2024, we no longer file out-of-network insurance claims on a patient’s behalf.
We will supply a super bill and CPT codes for any patient who wishes to self-file.
To request an invoice/super bill, please send your FULL NAME, DATE OF BIRTH and the ACCESSION ID to invoices@realtimelab.com

In-Network Guidelines

Are you a:

What insurance do you have?

Realtime is a nationwide authorized in-network provider with Medicare but not Medicaid

The patient will be billed for any deductible and coinsurance amounts deemed by the Healthcare plan to be owed by the patient.


To find out if your claim will be considered in-network, please contact your insurance and give them our NPI 1093099558

Patient-General Information

  1. Patients contracted with traditional red, white, and blue Medicare do not need to prepay for testing.
  2. No insurance filing fee will be charged by RealTime Laboratories, Inc.
  3. Medicare Advantage patients will be billed for their finanical responsibility of testing, as outlined on EOB Statement
  4. Procedure codes can be obtained either by calling (972) 492-0419 and following phone tree to Insurance, or by visiting the CPT Code page.
  5. A provider can neither be a self-refering provider nor can they refer family member(s)

Patient Eligibility and Verification Requirements for Medicare and Medicare Advantage:

  • Patient eligibility and verification for Medicare and Medicare Advantage is performed prior to testing the specimen at the lab. The information needed to perform eligibility check is:
  • Name of patient as it appears on Medicare card
  • Traditional Medicare card (Copy of Front and back) of Red, White, and Blue Medicare card
  • Copy of Front and back of Medicare Advantage card.

Additional Requirements for Medicare Advantage:

  • Traditional Medicare card (Copy of Front and back) of Red, White, and Blue Medicare card
  • Copy of front and back of Medicare Advantage card

Patient Responsibility for Medicare and Medicare Advantage:

ABN Form: Not all Medicare Advantage plans cover the test and Medicare does not cover this test for some ICD-10 Diagnoses; therefore, patients are required to fill out and sign the ABN form acknowledging their responsibility if Medicare does not reimburse the test.

Referring Provider Eligibility Requirements for Medicare and Medicare Advantage:

  • All referring providers (physicians) need to be enrolled as an Ordering and Referring provider with Medicare at PECOS
  • Referring provider(s) need to be enrolled as a Physician with RealTime Laboratories; if you’re a new provider please follow the link below to enroll:
    Provider Information Request page
  • Medicare referring provider eligibility can be checked by referring provider NPI (National provider Identification)
  • Order and Referring – Centers for Medicare & Medicaid Services Data (cms.gov)

Claim Process Check List:

To prevent specimen/test being placed on hold, the following documents/information is required:

  • Requisition form
  • Advance Beneficiary Notice of Non-Coverage Form (ABN) must be completed, signed, and returned to RealTime Laboratories
  • ICD-10 (diagnosis) code(s) needs to be obtained from the referring provider
  • Provider NPI (National Provider Identification Number)
  • Copy of Medicare card
  • Copy of Driver License for patient identification purpose
  • The test does not need to be prepaid, and no insurance filing fee is charged
  • Claim Timely Filing limit for Medicare is 365 days from the date the specimen collected
  • Medicare Advantage:
  • Copy of traditional Medicare card (Red, White, and Blue)
  • Front and Back copy of Medicare Advantage card

Realtime Laboratories is a BlueCross BlueShield of TX in-network provider with:

PPO (Preferred Provider Organization)
Blue Essentials & Blue High Performance
HMO (Health Management Organization)

The patient will be billed for any deductible and coinsurance amounts deemed by the Healthcare plan to be owed by the patient.
To find out if your claim will be considered in-network, please contact your insurance and give them our NPI 1093099558

Patient-General Information

  • Patients contracted with BCBSTX do not need to prepay for testing.
  • No insurance filing fee will be charged by RealTime Laboratories, Inc.
  • If any service does require precertification, it is the member’s responsibility to ensure that is in place prior to sending the specimen
  • Claim Timely Filing limit for BCBSTX is 365 days from the date of specimen collected
  • A provider can neither be a self-referring provider nor can refer family member(s)

Claim Submittal Requirement for BCBSTX:

  • Requisition form
  • Copy of front and back BCBSTX card must be provided
  • Referring provider NPI (National Provider Number)
  • ICD-10 (diagnosis) code(s) needs to be obtained from the referring provider
  • Copy of Driver License for patient identification purpose
  • Pre-authorization # needs to be obtained if it is required by your insurance prior to sending the specimen to RealTime Laboratories

Claim Process Checklist:

To prevent specimen/test on hold, following documents/information is required:

  • Requisition form
  • ICD-10 (diagnosis) code(s) needs to be obtained from the referring provider
  • Provider NPI (National Provider Identification Number)
  • Front and back copy of insurance card
  • Copy of Driver License for patient identification purpose
  • Claim Timely Filing limit for BCBSTX is 365 days from the date the specimen collected
  • Pre-authorization # needs to be obtained if it is required by your insurance prior to sending the specimen to RealTime Laboratories
  • RealTime Laboratories will file an in-network claim to BCBSTX. Each patient’s plan determines their individual deductible, out of pocket, and coinsurance amounts. The patient will be billed for any deductible and coinsurance amounts deemed by BCBSTX to be owed by patient.

Realtime Laboratories is a CareFirstMD in-network provider with PPO only

The patient will be billed for any deductible and coinsurance amounts deemed by the Healthcare plan to be owed by the patient.
To find out if your claim will be considered in-network, please contact your insurance and give them our NPI 1093099558


Patient-General Information

  • Patients contracted with CareFirstMD do not need to prepay for testing
  • No insurance filing fee will be charged by RealTime Laboratories, Inc.
  • A copy of the front and back of the CareFirst card is required for all patients
  • Provider do not need to be a CareFirst contracted provider for referrals
  • Claim Timely Filing limit for CareFirstMD is 365 days from the date of specimen collected

Claim Submittal Requirements for CareFirstMD:

  • Requisition form
  • Copy of front and back BCBSCareFirstMD card.
  • Referring provider NPI (National Provider Number)
  • ICD-10 (diagnosis) code(s) needs to be obtained from the referring provider
  • Copy of Driver License for patient identification purpose

Claim Process Checklist:

To prevent specimen/test on hold, following documents/information is required:

  • Requisition form
  • ICD-10 (diagnosis) code(s) needs to be obtained from the referring provider
  • Provider NPI (National Provider Identification)
  • Front and back copy of insurance card
  • Copy of a valid driver license or passport or ID needed for patient identification purpose
  • Copy of Driver’s License for patient 18 yrs. or older, Legal Guardian (younger than 18 yrs.)

What insurance company you are looking for?

Realtime is a nationwide authorized in-network Medicare Provider

Referring Physician Eligibility Requirements:

  • All referring providers need to be enrolled as an Ordering and Referring Provider with PECOS
  • Referring provider needs to be on Realtime referring provider database
  • If provider has submitted an opt-out affidavit to Medicare for their own treatment services; they can still refer lab work to RealTime Laboratories, Inc. to be billed to Medicare; as long as they are PECOS enrolled
  • To become an Ordering and Referring provider a CMS 855O needs to be submitted at CMS 855O | CMS
  • A provider can neither be a self-referring provider nor can refer family member(s)

New Providers

  • New providers please go to PIR (provider information request) to enroll with RTL
  • POC: Sales Onboarding Department-(972)492-0419 Dial (1) – (3)

Realtime Laboratories is a BlueCross BlueShield of TX in-network provider with

  • PPO (Preferred Provider Organization)
  • Blue Essentials & Blue High Performance
  • HMO (Health Management Organization)

Provider-General Information:

  • Providers do not need to be a BCBSTX contracted provider for referrals
  • If a non-contracted provider refers a BCBSTX patient for testing, the test will process in network because RealTime Lab is a preferred BCBSTX Network Provider.
  • Diagnosis codes in ICD-10 format
  • A provider can neither be a self-referring provider nor can they refer family member(s)

Provider Requirements:

  • Referring provider NPI (National Provider Identification)
  • Diagnosis codes in ICD-10 format
  • If any service does require precertification, it is the provider’s responsibility to ensure that is in place prior to specimen being sent to RealTime Laboratories

Realtime Laboratories is CareFirstMD in-network provider with PPO only

Provider-General Information:

  • Patients contracted with CareFirstMD do not need to prepay for testing
  • No insurance filing fee will be charged by RealTime Laboratories, Inc.
  • Provider does not need to be a CareFirst contracted provider for referrals
  • If a non-contracted provider refers a CareFirst patient for testing, the test will process in network because RealTime Lab is a CareFirst Network Provider
  • Diagnosis codes in ICD-10 format
  • A provider can neither be a self-referring provider nor can they refer family member(s)

Provider Requirements:

  • Referring provider NPI (National Provider Identification)
  • Diagnosis codes in ICD-10 format
  • If any service does require precertification, it is the provider’s responsibility to ensure that is in place prior to specimen being sent to RealTime Laboratories