Billing
At CTA Pathology, we believe in the importance of transparent medical billing. Our billing team operates in-house and is available to answer questions between 8am and 4:30pm PST. Please see below for more information on our billing practices.
Accepted Insurance
CTA Pathology is in-network with most insurances and can attempt to bill your insurance even if we are out-of-network. Depending on your benefits and accumulations, you may still receive a bill from us even if your plan is in-network. We are generally considered in-network with the following plans:
Oregon: AARP, Aetna, Atrio, Cigna, GEHA, Healthnet, Humana, Medicare, Moda, Multiplan, Oregon Health Plan, PacificSource, Providence, Regence BlueCross/Blue Shield, TriCare, TriWest, UMR, United Healthcare.
Colorado: AARP, Aetna, Anthem BlueCross/BlueShield, Beech Street, Cigna, Clear Spring Health, Cofinity, Colorado Access, Coventry First Health, GEHA, Humana, Medicaid, Medicare, Multiplan, Oscar Health, Private Health Care Systems (PHCS), Rocky Mountain Health Care, TriCare, TriWest, UMR, United Healthcare.
Michigan: AARP, Aetna, BlueCare Network, BlueCross/BlueShield of Michigan, Cigna, GEHA, Health Alliance Plan of Michigan, HealthNet, Humana, JVHL, Medicare, Multiplan, Priority Health, TriCare, UMR, United Healthcare.
No Surprises Act
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Ban surprise billing for emergency services. Emergency services, even if they’re provided out-of-network, must be covered at an in-network rate without requiring prior authorization.
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Ban balance billing and out-of-network cost-sharing (like out-of-network co-insurance or copayments) for emergency and certain non-emergency services. In these situations, the consumer’s cost for the service cannot be higher than if these services were provided by an in-network provider, and any coinsurance or deductible must be based on in-network provider rates.
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Ban out-of-network charges and balance billing for ancillary care (like an anesthesiologist or assistant surgeon) by out-of-network providers at an in-network facility.
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Ban certain other out-of-network charges and balance billing without advance notice. Health care providers and facilities must provide patients with a plain-language patient notice explaining that patient consent is required to get care on an out-of-network basis before that provider can bill the patient.
For patients who don’t have insurance, these rules make sure they’ll know how much their health care will cost before they get it, and might help them if they get a bill that’s larger than expected.
The rules don’t apply to people with coverage through programs like Medicare, Medicaid, Indian Health Services, Veterans Affairs Health Care, or TRICARE because these programs have other protections against high medical bills.
CTA CARES
Our financial assistance program, CTA Cares, seeks to support uninsured and underinsured patients by matching the discount provided by their referring physician. To apply for this program, simply contact our office and submit a letter from your referring physician stating the discount provided.
