Counsyl, Inc
| “The lab company enjoying solid success with its approach to contracting with health insurers is Counsyl, Inc., based in South San Francisco, California. It reports a high rate of settled claims with health insurers and an enviable collection rate from patients. It backs up these claims with impressive results from its customer satisfaction surveys.” |
Problems They Addressed
- It is becoming ever more difficult to have health plans reimburse claims for lab tests in a reliable and consistent manner.
- Many lab companies report that they are experiencing high rates of denied claims.
- When the claim is finally paid by the insurer in 60 days or longer, the lab must then send a bill to the patient to collect the required deductible. When this happens, the clinical laboratory has two unhappy customers: the patient and the patient’s physician!
The Solution
- Priced test menu at a reasonable level, averaging about $1,500 each. Health insurers recognize clinical benefit at an acceptable cost.
- Can bill the right health plan for just about any patient it serves.
- Offers a quick and easy-to-use patient test pricing tool.
- Patients can use the tool to determine exactly how much they will pay, based on their health insurance benefits.
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