Billing

Spectra Laboratories has helped customers navigate the billing procedures for End Stage Renal Disease (ESRD) laboratory testing services for over 30 years. We consider this close support essential to help you and your patients reap the maximum benefit from working with us. Look to our billing specialists for:

Expertise with CMS ESRD Billing Rules

  • Automated tracking of test frequencies as well as billable versus non-billable tests
  • Compliance with CMS billing regulations for ESRD testing

To support diverse customer needs, we provide a variety of billing options and arrangements, including support for:

Water/Dialysate Testing
Spectra bills the medical facility for any water/dialysate testing, with fee schedules established by a pre-determined service agreement.

Managed Care Organizations
Payment arrangements are available for managed care organizations (MCOs) and other insurance providers that may not pay Spectra directly. Please contact your Spectra Billing Representative to discuss specific MCO practices.

Private Insurance
Spectra will bill private insurance companies for treatment upon receipt of the patient's active insurance information or a copy of the insurance card. Depending upon individual policies, patients may be responsible for co-payments, deductibles, out-of-pocket or non-covered charges.

Medicare & Medicaid Plans
CMS requires ordering physicians to provide laboratories with a diagnosis code which supports medical necessity for each requested test. The Composite Rate lab tests and ESRD PPS Consolidated Billing lab tests include a number of laboratory tests for Hemodialysis, IPD, CCPD and CAPD.  Spectra can arrange for HL7, 835, delimited or other file types with these lab tests to clients to itemize on their ESRD claim.

To obtain forms and other billing information, please contact the Spectra Billing departments at:

Spectra Laboratories
525 Sycamore Drive
Milpitas, CA 95035
Phone: 800-433-3773
Fax: 408-526-3747

Spectra Laboratories
8 King Road
Rockleigh, NJ 07647
Phone: 800-522-4662
Fax: 201-768-1308