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What does Out-of-Network mean?

By | 2016-10-21T14:48:13-07:00 October 21st, 2016|

Out-of-Network is a term which references a healthcare provider who is NOT contracted with the commercial insurance payer. Because you are not contracted with the insurance, you aren’t under any obligation to follow the insurance payer’s rules or accept their fee schedule for the healthcare services you provide.

What does In-Network mean?

By | 2016-10-21T14:47:50-07:00 October 21st, 2016|

In-network is a term which references a healthcare provider who has secured a contract with a commercial insurance payer (i.e. BCBS, United Healthcare, Cigna). Currently, Vitalistics does not have any commercial payer-provider contracts. The only contract we have is currently with Medicare. As insurance payer contracts are obtained, this document will be updated.

How is billing handled?

By | 2016-10-21T14:47:18-07:00 October 21st, 2016|

rev.MD is our third-party billing firm that provides online access to a credit card payment processing company. This portal will be used for patients to access their account and pay their invoice. We will not collect upfront payments.

How are benefits and eligibility determined?

By | 2016-10-21T14:46:46-07:00 October 21st, 2016|

Vitalistics uses a third-party service to conduct all of the benefits and eligibility (B & E) for all tests performed and billed by Vitalistics. The contracted provider is Zirmed. This company allows online access to all insurance payers within the country.