Please refer to the CPT Code List for more information on the 2013 CPT codes for each test. Contact the laboratory at 918-502-1721 or email Lynne Whetsell at email@example.com for pricing information.
The Center for Genetics at Saint Francis offers multiple billing options to better serve our clients and patients. Before testing may begin, all of the information required on the test requisition form Billing Information page must be received. Please review all of the billing options and the respective paperwork that is required upon receipt of a specimen to avoid delays in testing. Please contact Diane Ketchelmeier at 918-502-8608 or firstname.lastname@example.org for any additional billing information required.
Referring institutions and physicians may establish institution accounts with monthly invoicing. To establish an institution account, please fill out the Billing Information page of the test requisition form. Information regarding Institutional pricing, turnaround times and CPT codes are available on the Genetics Fee Schedule.
International clients must include payment with the shipment of the specimen. Checks or money orders should be made payable to Saint Francis Hospital. Approved credit card payments by Visa, Mastercard or American Express are acceptable if the following information is included: card type, cardholder name, card account number, expiration date, three-digit security code and amount being paid. Wire transfers are accepted; please see instructions below.
For your convenience, Saint Francis Hospital can accept electronic fund payments. Please notify the laboratory supervisor at 918-502-1730 or email@example.com at the time the wire transfer is initiated or include wire transaction receipt with the specimen.
Wire Transaction information
Chase Bank (Acct. name is Saint Francis Hospital Inc.)
Address: 15 East 5th Street, Tulsa, Oklahoma 74103
Account Number: 632945374; Swift Code# CHASUS33; ABA # 021000021.
Please indicate Department Number: 515060-64110 on the memo of the transfer.
Patient Self pay
Discounted fees are applied to patients who choose to self-pay and send payment upfront with the test order. Please refer to the Institutional / Client Fee schedule for the specific test costs. Cash and personal checks or money orders made payable to Saint Francis Hospital will be accepted. Approved credit card payments by Visa, MasterCard or American Express are acceptable if the following information is included: card type, cardholder name, card account number, expiration date, three-digit security code and amount being paid.
Insurance is filed as a courtesy and the patient is ultimately responsible for the balance of the account. Patients should contact their insurance company to verify insurance coverage or make arrangements for prepayment. Insurance billing for referring institutions or out of state patients is limited. The billable plans for out of state referring facilities and patients are Aetna, Blue Cross Blue Shield, United Healthcare and Cigna. Please refer to the specific test information page under Laboratory Services for the applicable list of CPT codes. Please be aware that the published fee schedule contains discounted institutional charges and cannot be used to determine Insurance-billed charges.
The following must be submitted for insurance billing:
- Billing Information page of the Test Requisition Form with patient's signature (patient demographic information may be provided in the form of a clinic face sheet). If patient is a minor, the DOB and contact information of the policy holder is required.
- Front and back copy of Insurance card
- Preauthorization number or written statement from insurance company stating authorization is not required.
Saint Francis is a Medicaid provider for patients within the state of Oklahoma and bordering states. We are not able to bill Medicaid in any other states. Complete information as requested on the requisition form must be received for billing. We are also a Medicare provider; click here for complete information on CMS National Coverage Determination.
The American Medical Association's Current Procedural Terminology (CPT®) codes in the Laboratory Test Directory and Institutional/client Fee schedule are provided for informational purposes only. The codes reflect our interpretation of the CPT requirements based on our methodology of testing and the published AMA guidelines. CPT codes are provided only as a guide to assist our clients with billing and it is recommended that the use of these codes be confirmed with your respective Medicare administrator.
For information regarding the new 2012 AMA CPT codes for Molecular Genetic Testing please consult the Genetics Fee Schedule for a complete list of the specific CPT codes associated with each test.