Insurance Disclaimer

Insurance Disclaimer: A quote of benefits and/or authorization does not guarantee payment or verify eligibility. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member's contract at time of service.

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Insurance Liability for Payment: Your health insurance company will only pay for services that it determines to be "reasonable and necessary." Every effort will be made by Clinical Laboratory of New Jersey to have all services and procedures preauthorized by your health insurance company, when applicable. If your health insurance company determines that a particular service is not reasonable or necessary, or that a particular services is not covered under the plan, your insurer will deny payment for that service. We suggest to all patients that they contact their insurance to confirm that these services are covered. 

Under this arrangement, you are responsible and agree to pay $100 for your PCR Test if your insurance company does not pay for our services provided.

 

Beneficiary Agreement: By agreeing to having the PCR Test provided to me, I understand that my health insurance may deny payment for the services identified above, for the reasons stated. If my health insurance company denied payment, I agree to be personally and fully responsible for payment. I also understand that if my health insurance does make payment for services, I will be responsible for any co-payment, deductible, or coinsurance that applies.