Financial
Policy and Billing Information
Payment Options
Texas Medicaid Approved Tests
Prices and CPT Codes
Laboratory
Managed Care Contracts (PDF) - Updated 6/4/08
Contact Billing
Billing Forms:
Institution
Agreement Form (PDF)* - Updated 3/1/07
Credit
Card Payment Authorization Form (PDF)* - Updated 3/1/07
Patient
Insurance Verification Form (PDF)* - Updated 3/18/08
Tax
ID W-9 Form (PDF)*
Statement
of Medical Necessity
Advanced
Beneficiary Notification |