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Can health care providers submit a claim for testing furnished to an uninsured individual that is performed by a laboratory with which it has a client bill arrangement?

Can health care providers submit a claim for testing furnished to an uninsured individual that is performed by a laboratory with which it has a client bill arrangement?

Yes, a provider can submit claims for testing furnished to an uninsured individual that is performed by a laboratory with which the provider has a client bill arrangement. In these cases, if a provider receives a reimbursement payment, the provider would be responsible for paying the lab as they normally do under these arrangements. Per the terms and conditions, the provider may not balance bill the uninsured individual.

Eligibility Questions
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