Laboratory Alliance of Central New York

I am in receipt of your letter dated December 30, 2015 concerning a complaint from a father about his daughter's statements totaling $700.The father's daughter came into one of our Patient...

Service Center with an order for testing. The patient is covered by the local [redacted] plan but the order was written by a physician that is outside New York State. We submitted the claim to the local [redacted] plan and it was denied stating that we needed to send the claim to the referring provider's plan which is [redacted]. Since we have a contract with the local [redacted] plan, but not [redacted], it was treated as out-of-network.This is an [redacted] policy and our staff has no way of knowing that the billing for this testing has to go to another [redacted] plan. Attached is a copy of the [redacted] memo effective October 14, 2012 for your review. We have filed complaints with [redacted] concerning this policy since we are the provider of services and we have a contract with the local [redacted] plan. It does not seem fair to me that the patient needs to go back to [redacted] to have the testing done so that the insurance pays the claim.We have contacted [redacted] concerning this patient and they have stated that they will resubmit this claim through the local plan to get it paid. The father should follow-up with [redacted] to make sure they are following through with this. Please contact me at [redacted] if you have any further questions.Regards,Nancy [redacted]Director of Billing and Compliance

Revdex.com:I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.  Regards, [redacted]