Billing

Yes, UC Davis Dermatopathology offers third party billing for these services. If a pre-authorization for the services is required by the patient’s insurance, the referring physician is responsible for obtaining that authorization.

Yes, we can bill for cases that are not patient specific. Please email our us to discuss your specific interest and the representative can confirm that the specific work can be done.

HS-DermpathBilling@ucdavis.edu or call directly 916-551-2692 or 866-323-9061

UC Davis Dermatopathology does accept limited healthcare insurance outside the state of California. That said, use of UC Davis Dermatopathology services by out of state patients often requires pre-authorization. We recommend confirming coverage directly with the patient’s insurance company.

We do have the capability to review insurance and possibly do a one-time contract through our contracts department with a Letter of Acceptance (LOA). Please contact us if you are interested so the information required can be obtained. This can take up to 24-48 hours.

 HS-DermpathBilling@ucdavis.edu or call directly 916-551-2692 or 866-323-9061

Please email our billing representative at  HS-DermpathBilling@ucdavis.edu or call directly 916-551-2692 or 866-323-9061

For bills email:  HS-DermpathBilling@ucdavis.edu call directly 916-551-2692 or 866-323-9061

Please fill out the UC Davis Dermatopathology Lab request intake form and instructions, with patients’ demographics and billing information https://health.ucdavis.edu/dermatopathology/

Yes, your report is about you, and you have a right to receive a copy. However, we strongly recommend that you review your report with your medical practitioner to establish the most effective treatment plan for you.

Your physician, or another lab, referred your biopsy or slides to our Service for processing and interpretation. Our services are billed separately from your treating physician's services

HS-DermpathBilling@ucdavis.edu or call directly 916-551-2692 or 866-323-9061

Please see below our list of accepted insurances. As each insurance plan differs, and plans offered by the same insurer may have different levels of coverage, we suggest contacting the insurance company directly to confirm status. You may be asked for our group NPI or Tax ID.

Coverage for testing at UC Davis Dermatopathology is determined by the patient’s insurance company and is based on the provisions of the specific plan.

UC Davis Dermatopathology involve two separate components. First is the technical services related to processing the specimen and the second is the professional services related to the physician work of interpreting those results and rendering diagnosis. Our physician and hospital technical services each have an NPI and Tax ID number (below).

                Professional Services                                                                     Technical Services

Group NPI: 1043208948                                                                  Group NPI: 1710918545

Group Tax ID: 68-0334324                                                             Group Tax ID: 94-6036494

No. Out-of-pocket costs of copays, deductibles, and coinsurance are part of the benefit design with your health coverage, and you are expected to pay these amounts up to the out-of-pocket maximum limit defined by your coverage. Note that in-network benefits can differ significantly from out-of-network benefits. You may have higher out-of-pocket costs if your coverage is considered out-of-network at UC Davis Health.

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or must pay the entire bill if you see a provider or visit a health care facility that is not in your health plan’s network. “Out-of-network” describes providers and facilities that have not signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay, and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit. “Surprise billing” is an unexpected balance bill. This can happen when you cannot control who provides your care. Emergency care or being treated by an out-of-network provider at an in-network clinic are examples of when they may occur.

The No Surprises Act takes effect on January 1, 2022, and provides patients financial protections against surprise medical bills, and prohibits balance billing for certain out-of-network (OON) care.

Individuals with Medicare, Medicare Advantage, Medicaid/Medi-Cal, Indian Health Services, VA health care, or TRICARE insurance plans are not covered under the No Surprises Act because these federal insurance programs have existing protections in place to minimize large, unforeseen bills.

                                Protections Against Surprise Medical Bills (No Surprises Act)

Consumer Protection Disclosure

In addition, UC Davis Health will provide patients with a Consumer Protection Disclosure that includes information in clear and understandable language which explains:

• When there are bans on balance billing
• Any state laws that protect you from balance billing
• What state or federal agency to contact if you think your provider or hospital has not followed the bans on balance billing

Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate (“Good Faith Estimate”) of the bill for medical items. Please contact your treating physician for any estimates related to your care

No. But you will likely pay higher out-of-pocket costs when seeing an out-of-network provider.

Your insurance provider will send you an Explanation of Benefits (EOB) notice that details the amount it has paid, any non-covered or denied amounts and the remaining balance that you are responsible for paying. Review your EOB carefully, compare it to your hospital and/or Physician paper statement and call your insurance provider or a Customer Service Representative right away if you have questions or concerns.

The most common insurance denials received on claims are:

• Your insurance carrier needs additional information from you
• You were not covered by your insurance plan on the date of service
• No authorization/referral is on file for services
• The service you received was not covered under your plan
• The insurance information recorded at the time of service was inaccurate, incomplete, or outdated.

If you need to update any information, please contact us

 HS-DermpathBilling@ucdavis.edu or call directly 916-551-2692 or 866-323-9061

Through UC Davis Health vision to heal humanity through science and compassion, one patient at a time, ensuring that all patients are treated with dignity and respect is a priority. To better understand patient rights and their responsibilities, information is available through a variety of ways such as posters in all clinical areas, brochures, braille booklets, and audio files.

https://health.ucdavis.edu/medicalcenter/patients/patient_rights.html