Frequently Asked Billing Questions

Answers:

Proven Diagnostics has received information or instructions from either your physician or your insurance company which indicate that your are responsible for payment of all or part of the charges for testing services. Please contact our Patient Billing Department at 1-866-621-5234 for additional information. (top)

You can contact our billing department by phoning them at 1-866-621-4234, by fax at 570-214-5741, by e-mail at provenbillingsupport@provendiagnostics.com, or by writing to us at 252 Brodhead Road, Suite 400, Bethlehem, PA 18017. (top)

At this time we cannot accept credit card payments online. If you wish to pay by credit card, you may mail your payment to Proven Diagnostics at the address on your bill, or you can call our patient billing center at 1-866-621-5234 and give us your credit card information by phone. (top)

An Explanation of Benefits (EOB) comes from your insurance company. When your claim is processed you will receive an EOB from your insurance company detailing charges and expected payments. The EOB outlines what your insurance will cover. This is not a bill. Proven Diagnostics bills come from Proven Diagnostics and not from your insurance company. (top)

If this occurs, please write your invoice number on the EOB and fax a copy of your EOB to Proven Diagnostics (570-214-5741), and Proven Diagnostics will contact your insurance company to research and resolve the differences.(top)

If you have a primary insurance as well as a secondary, Proven Diagnostics will automatically bill any balance after the primary insurance has paid to your secondary insurance. You will not receive a bill until both carriers have submitted proper payments. (top)

If you feel there is an error with the bill that you have received, please call Proven Diagnostics Patient Billing at 1-866-621-5234. (top)

Proven Diagnostics will accept all insurance plans. You can see a list of the most common insurance companies with whom Proven Diagnostics participates and with whom we will file claims.(top)

The price you must pay for tests performed by Proven Diagnostics may depend on several different things, for example: 1) the coverage provided by your insurance plan; 2) your age (if you are 65 or older, under certain conditions defined by Medicare, Medicare will not pay for some tests that your doctor has ordered); and 3) your healthcare provider's agreement with Proven Diagnostics. If you have already received a bill from us and have a question, please click here to submit a billing inquiry.(top)

An Advanced Beneficiary Notice (ABN) is a document required by Medicare in certain situations before Proven Diagnostics can bill a Medicare beneficiary. Medicare pays only for services it determines reasonable and medically necessary. Some tests are considered medically necessary only if the patient has certain medical conditions, symptoms or diseases. The ABN is to help patients decide if they want to receive certain laboratory tests that Medicare will probably not pay for. The patient is responsible for paying for tests if Medicare denies payment.(top)

Since individual insurance coverage plans typically change from year to year, we must ensure that we have your most current insurance information each time you visit to ensure proper billing.(top)

You should have received an Explanation of Benefits (EOB) from your insurance carrier that explains in detail the services that were either paid or denied. If you need further assistance determining the reason(s) why your insurance company did not pay for your bill, please contact your insurance carrier directly.(top)

You may contact Proven Diagnostics' Patient Billing Department at 1-866-621-5234.