Frequently Asked Questions

Q: Do I need to make an appointment?

A: No, ADL does not require an appointment for your routine lab visit. 

Q: What does it mean if I have to be fasting for my lab tests?

A: Many laboratory tests have normal ranges based on the patient “fasting.” This means nothing to eat or drink, except water, for eight to fourteen hours prior to having your samples collected at our Laboratory.

Q: Can I drink coffee when fasting?

A: No, you may not eat or drink anything besides water while you are fasting.

Q: Where are you located and what are your hours?

A: For more information about our locations and hours, please click here.

Q: If my doctor is not from the area, can I still go to ADL?

A: ADL accepts orders from any authorized provider in the state of Alabama. Please bring your requisition or lab prescription with you on your visit.

Q: How does my doctor receive his or her results?

A: Lab results are delivered by courier to your physician’s office or faxed to the physician’s office as soon as they are available. Some clients may receive reports via EMR connectivity or a secured web portal.

Q: How long will it take my doctor to get my results?

A: Most results will be available to your physician within three to five business days.

Q: Can I get my results or do I have to call my doctor?

A: Please contact your physician’s office to obtain a copy of your lab results. ADL does not release results directly to patients without first receiving an acknowledgement from the patient’s healthcare provider.

Billing & Insurance

Q: What insurance plans do you accept?

A: ADL is contracted with most PPO insurance companies and some HMO insurance plans. PDL accepts Medicare and Medicaid.

Q: What items do I need to take to bring to my visit to ADL?

A: When visiting ADL for a specimen collection, please bring the following information with you:

  • The test request form from your healthcare provider
  • Your current insurance identification card
  • Your photo ID card
  • If you are uninsured and paying for your lab work at the Time of Service, please bring a check, a credit card (VISA, Mastercard, Discover) or a money order.
  • Please note: Minors must be accompanied by their parent or legal guardian for lab testing. If you are bringing a minor and you are not that person’s legal guardian, you will need to bring a notarized statement signed by a parent or legal guardian authorizing you to give permission for the collection and billing of the tests ordered by the minor’s physician.

Q: Can I order my own lab tests

A: Lab testing must be ordered by a licensed healthcare professional or authorized designee licensed in the state of Alabama.

Q: Why have I received a bill from ADL?

A: ADL has received information from either your ordering physician or your insurance company indicating there is a patient responsibility portion for testing services. For further information about the specific nature of the bill, please contact our Billing Department at 256-885-9708.

Q: Whom do I speak with about the results from my lab testing?

A: The laboratory report is sent to the ordering physician or other authorized person who has requested the test. Please contact your ordering physician for further information regarding your results.

Q: How often will ADL bill me?

A: ADL will send you a bill approximately once per month. Payment from you is expected promptly upon receipt of the bill. If you have questions about your bill, please contact our Billing Department immediately at 256-885-9708.

Q: What methods of payment does ADL accept?

A: ADL accepts payments by check, money order, or credit card. ADL accepts Mastercard, Visa, and Discover.

You may mail any payments to:

ADL Billing
2700 Triana, Blvd
Huntsville, AL 35805

Please remember to attach the stub of the bill when mailing in your payment, and include your invoice number on the check.

Q: Why do I need to provide billing information every time I come in for a visit at ADL?

A: ADL does not keep files on individual patients; each date of service is treated independently. Therefore, we require complete billing information each time testing is requested.

Q: How can I find out if my insurance company has paid this claim?

A:Please review your bill carefully. A line item adjustment will be printed on your bill if we have received payment from the insurance company. If you are still uncertain, you can either contact your insurance company directly or contact the Billing Department at 256-885-9708.

Q: Why didn’t my insurance pay this claim?

A: Each insurance company processes claims differently. You will receive an Explanation of Benefits (EOB) from your insurance company that details the services and whether the services were paid or denied. If you need additional assistance in determining why your insurance did not pay on your claim, please contact your insurance carrier directly.

Q: What do I do if the information shown on the ADL bill does not match the information I’ve been provided by my insurance company?

A: If you have received an Explanation of Benefits (EOB) from your insurance company that shows different information than the laboratory bill you have from ADL, please contact the ADL Billing Department at 256-885-9708.

Q: Can I take my medication when the doctor tells me to fast?

A: Yes. Always take any medications that are part of your routine unless your doctor indicates differently.

Additional Questions for Medicare Patients

Medicare will pay for services determined to be reasonable and necessary under section 1862(a)(1) of the Medicare law. Apex Diagnostic Lab (ADL) believes that physicians are in the best position to know the clinical needs of their patients. However, in some cases, Medicare does not pay for tests performed even though deemed necessary by the physician. Before a specimen is collected, you may be asked to sign an Advanced Beneficiary Notice, or ABN.

Q: What is an ABN?

A: An ABN is a form that advises you prior to receiving service that you may have to pay for a test your doctor has ordered.
Why do you want me to sign an ABN?

Although the Medicare program pays for most lab tests, it doesn’t pay for some tests under certain circumstances. The reason you are being asked to sign an ABN is based on the information we have received from your physician that Medicare is likely to deny payment. Apex Diagnostic Lab must ask the patient to pay.

Q: Why don’t you think Medicare will pay for this test?

A: Medicare pays only for tests that it considers to be “medically necessary.” The majority of ordered tests are considered medically necessary dependent upon the patient’s diagnosis. If your physician provides a diagnosis that Medicare accepts for the ordered testing, the fee is paid by Medicare. If the provided diagnosis is not associated with the ordered test, Medicare denies payment. Additionally, Medicare doesn’t pay for tests considered to be screenings or physicals (checking for a condition when no signs or symptoms exist). Some tests have limitations on how often they can be performed, and Medicare will only pay for a certain quantity in a specified time frame.

Q: Why perform a test if Medicare says it isn’t “medically necessary”?

A: Your doctor has made a medical judgment that you need the test. When your doctor says a test is medically necessary, he or she has considered your personal medical history, medications prescribed, and generally accepted medical practices. When Medicare indicates a test isn’t medically necessary, it’s not making a medical decision about your health: it’s functioning as an insurance company, determining appropriate coverage.

Q: Must I sign the ABN?

A: No. There are three options:

Option 1: You may sign the ABN and have the test performed. If Medicare elects to not pay the fee, you will be billed for the test not covered by Medicare.
Option 2: You may refuse to have the testing billed to Medicare.  However, in  having the test performed,  you will be held responsible for payment. We advise you to consult with your doctor before choosing this option.
Option 3: You may refuse to have testing performed.

Q: Will I be billed automatically?

A: No. After the Laboratory performs the test, we’ll ask Medicare to pay for it. If Medicare does pay for it, you will be billed for deductible and co-insurance balances only. You will be billed for the total only if Medicare denies the claim.

Q: Will supplemental insurance pay for the test if Medicare doesn’t?

A: Probably not. Most supplemental insurance policies (sometimes called “Medigap” policies) follow the coverage guidelines set forth by Medicare. Medicaid also follows the Medicare guidelines and there is a high probability they will not cover the testing.

Q: Must I sign an ABN every time I receive service?

A: No. You’ll be asked to sign an ABN only when the circumstances indicate Medicare may deny payment for the ordered test. There may be visits to ADL when you’ll be asked to sign an ABN and other visits when you will not. It all depends on the particular test and the provided diagnosis.

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