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Billing & Payments

At MPLN, we work with each client to set up the best method of payment for them and their patients. The forms of payment we accept are listed below. In addition, patients have the option to pay their laboratory bill online.

Online Payments

Use the form below to make an online payment with a credit card or Paypal account.

Name
Account Number

Medicare and Medicaid

ICD-10 Implementation deadline October 1st 2015. For more information click here

ICD-9 to ICD-10 Crossover sheet for MPLN testing technologies

Medicare ABN Form

Advanced Beneficiary Notice Form
Advanced Beneficiary Notice Instructions

Medical necessity guidelines are provided by Centers for Medicare & Medicaid (CMS). MPLN encourages clients to utilize an Advanced Beneficiary Notice (ABN) on any laboratory procedure that Medicare may not deem as medically necessary. Without a signed ABN on file, MPLN reserves the right to bill the client for any tests deemed not medically necessary.

MPLN bills Medicare through Cahaba GBA in Tennessee and Palmetto GBA in Virginia. We accept Medicare's allowed rates as 100% of payment. If Medicare pays only a co-insurance amount of the allowed Medicare rate, or if the patient's deductible is not met, then the patient is responsible for the difference. MPLN accepts the Medicaid allowed rate as full payment. We are enrolled in the following state Medicaid programs: Alabama, Arkansas. Florida, Georgia, Indiana, Kentucky, North Carolina, Ohio, Maryland, Missouri, Mississippi, Oklahoma, Texas, Louisiana, Pennsylvania, South Carolina, Tennessee, Utah, Virginia, West Virginia, and Washington.

Participating Insurance Providers

MPLN is a member of insurance networks across the country. For a current list of our participating insurance providers, please contact a Client Services Specialist at 800.932.2943.

TN and VA particpating and non-particpating Insurance providers (JUN2017)

Insurance & Third Party Billing

For MPLN to bill an insurance company or third party administrator, be sure to include the following information on the requisition form:

  • Patient's insurance information
  • All applicable diagnostic codes in ICD-9 format.
    As of Oct 1st 2015 CMS will change to ICD-10 CM

Patients are responsible for co-payments, deductibles and/or outstanding balances not covered by insurance. If your patient has a question about their laboratory bill, he or she is welcome to call MPLN directly.

Patient Billing

We can bill patients directly if the test requisition form is complete and includes the responsible party's name, address and telephone number. Patients can pay their bill online from MPLN by clicking here.

Client Billing

Our facility fee schedule may be discounted based on a client’s total test volume with MPLN and its subsidiaries. Clients are billed on a monthly basis by an itemized invoice and terms are payable upon receipt. Any adjustments are shown on the following month’s statement. Clients who have collections past due 90 days are sent a written notification. If you have any questions, please call the client billing department at 800.932.2943.

CPT Codes

The Current Procedural Terminology (CPT) Codes that MPLN provides are based on our interpretation of CPT code requirements and are subject to review and change. It is our clients' responsibility to verify the accuracy of the codes listed and assign value based on reimbursement for your area. If you have questions about usage of CPT codes, contact your Medicare carrier.