Can ProPath tell me how much my tests will cost?
We understand the desire to control costs, but, it is difficult to estimate the final total cost of ordered tests. Often, in order to be able to render an accurate diagnosis, your pathologist may see the need for special stains or additional testing to be performed.
Does ProPath accept my insurance?
ProPath is a participating provider with most insurance companies.
If ProPath is not a participating provider with your insurance, ProPath will send you a billing statement for any portion applied to your out-of-network deductible and/or coinsurance and you will be financially responsible.
Will ProPath provide me a discount if I don’t have insurance?
ProPath offers discount programs available for uninsured patients.
To inquire about payment arrangements, please call 214.631.6721 or 800.654.1888, Monday through Friday, 8:00 AM to 5:30 PM Central Time.
Does ProPath have a program for patients experiencing financial hardship?
ProPath understands that sometimes families are under financial hardships. For this reason, ProPath has various payment arrangements available for patients with no insurance, limited coverage, or whose insurance may not cover the tests performed.
ProPath also offers Financial Assistance to those with limited income and large medical bills. Click here to complete the application and submit with the requested documents. For more information, contact our Billing Customer Service and someone can assist you.
How can I get a copy of my test report?
How long has ProPath been in business?
ProPath has been providing quality diagnostic testing, information, and services since 1966.
Our doctors’ mission is to make the right diagnosis and offer exceptional physician support, to get the patient on the best treatment path.
How quickly will I receive my biopsy results?
ProPath has a rapid 24- to 48-hour turnaround time, in most cases.
In the case of Women’s Health testing, your physician will provide you with a ProPath KnowNow card with a unique identification code. Use this code, along with some personal data for secondary-identity confirmation, when going to the convenient web portal, here.
I have a secondary insurance plan. Does ProPath file those claims for me?
ProPath is responsible for filing all primary and secondary insurance claims on your behalf, based on the information provided when the testing is ordered.
Once all plans have processed the claim, you will be financially responsible for any remaining portion and billed accordingly.
If ProPath fails to file to the proper insurance, or to your secondary, we encourage you to call our Customer Service department at 214.631.6721 or 800.654.1888 to resolve any issues.
I have Medicare or Medicaid. What will I have to pay?
Medicare patients must meet their annual deductible and a 20 percent coinsurance.
If you have a secondary plan, please let us know. Medicaid patients will have no out-of-pocket expenses.
If you are on a limited Medicaid plan, such as Family Planning or Emergent Care Only, you may be billed for any charges denied by your insurance plan.
The “explanation of benefits” that I received from my insurance is different from the information on my ProPath bill. What should I do?
Please remember that your Explanation of Benefits (EOB) from your insurance is not a bill.
If ProPath determines your insurance processed your claim incorrectly, ProPath will appeal to your insurance on your behalf. Please, do not pay anything until you have received a billing statement from ProPath.
What are the customer service hours, and the best number to call?
The hours of operation are Monday to Friday, from 7:30 AM to 5:30 PM (Central Time).
Our Customer Service number is 214.631.6721 or call toll-free at 800.654.1888.
What does Board-certified mean?
When you see a physician has been “board certified,” it indicates that they have exceptional expertise in a specialty and/or subspecialty (particular area of study) of medical practice.
Board-certification requires further, extensive training, and successfully passing an examination showing the highest level of proficiency for patient care.
What is a biopsy?
A biopsy is the examination of tissue removed from a living body to discover the presence, cause, or extent of a disease. In most cases, a biopsy is done to diagnose a problem or to help determine the best therapy option.
What types of services does ProPath offer?
ProPath works directly with the referring clinician to ensure our expert pathologists, who are subspecialized in various areas of pathology, are providing the diagnostic interpretation to assist the clinician with a treatment plan (if needed).
ProPath offers pathology services for the following subspecialties:
- Breast Pathology
- Dermatopathology (clinical testing offered)
- Gastrointestinal Pathology
- Molecular Diagnostics
- Podiatric Pathology
- Renal Pathology
- Specialty Testing (such as specialized stains to determine prognostic cancer markers, cytogenetics, etc.)
- Urologic Pathology
- Women’s Health (includes Paps, HPV testing, biopsies and other anatomic and clinical testing services)
Clinical testing services (consisting of blood or urine testing) are obtained by your physician’s office staff or by a ProPath phlebotomist working within your physician’s office.
I have a question about my bill. Whom should I contact?
All of your questions and concerns can be addressed by contacting the ProPath Billing Department online through our Contact Form, or our Customer Service Hotline at 214.631.6721, or toll-free at 800.654.1888.
A call center representative can assist you with any questions you may have about your bill.
What are your billing customer service hours of operation?
Hours: Monday through Friday, 7:30 AM to 5:30 PM Central Time.
I paid my co-pay at the doctor’s office. Why am I getting a bill from ProPath?
Typically, co-payments only cover physician office visits.
Patient financial responsibility, typically deductible and/or coinsurance based on the member agreement with the health plan, will be billed once the insurance has processed the claim. This cost will be reflected on the ProPath billing statement, as well as the Explanation of Benefits (EOB) from the insurance provider.
What method of payment does ProPath accept?
ProPath accepts checks, money orders, VISA or Master Card. PLEASE DO NOT SEND CASH AS PROPATH CANNOT ENSURE ITS SAFE DELIVERY. You may pay your bill online, by mail or phone. To pay online, Click Here.
Why have I received a bill from ProPath?
Typically, co-payments only cover physician office visits. Patient financial responsibility, typically deductible and/or coinsurance based on the member agreement with the health plan, will be billed once the insurance has processed the claim. This cost will be reflected on the ProPath billing statement, as well as the Explanation of Benefits (EOB) from the insurance provider.
Why have I received a bill when I have insurance that covers my laboratory testing?
Please remember that insurance plans have varying benefit levels, and only you can be sure your insurance company processed your claim according to your plan provisions.
If you feel your claim was processed incorrectly, please contact your insurance company.