Clinician FAQs
Lab Mailing Address
5895 Shiloh Rd Ste 101 Alpharetta, GA 30005
- Inquiries: cs@diagnosticsolutionslab.com
- Phone: 877.485.5336
- Fax: 470.239.5017
Please use the button below if you are interested in setting up an account or ordering test kits.
Who Can Order Testing?
- Licensed healthcare providers. The state a healthcare provider is practicing in determines licensing.
- Provider is responsible to send in correct credentials needed to order laboratory testing
- Any non-licensed provider must have a Physician Authorization Signature with each specimen submitted or a Physician Authorization Form on file.
- We do not have a license in the state of New York and therefor will not be able to set up accounts or ship collection kits to N.Y.
Detailed instructions available at: Account Setup Information
How Much Does Testing Cost?
- Clinicians will receive a Fee Schedule once your account is established with Diagnostic Solutions Laboratory.
- Existing account holders can contact customer service to receive an updated Fee Schedule.
- For questions about insurance billing, please call us at 877-485-5336.
What Items are Required for Prompt Test Processing?
- All Test Request Forms must be signed by the ordering practitioner.
- A deposit should be included with the test request form. This deposit may be from the patient or from the practitioner, depending on your office's billing preference.
- Include relevant ICD-10 codes on every test requisition form for faster insurance processing.
What Should I Keep In Mind When My Patient Is Filing an Insurance Claim?
- Insurance claims are submitted to the insurance carrier after test results have been released.
- Insurance companies may require additional documentation or medical records from the ordering practitioner in order to process a claim. In that instance, our Billing Team will contact your office to let you know what documentation is required.
- Patients who do not have out-of-network insurance or who would prefer not to file insurance can prepay for our testing at a discounted rate and receive an itemized receipt upon request.*
* Insurance claims are only filed for our GI testing.
What Should I Know About Filing Claims to Medicare and Medicare Advantage?
- We are a Medicare provider and will file with Medicare.
- Ordering provider must be an MD, DO, NP or PA.
- For Medicare and Medicare Advantage patients, ordering practitioners must be PECOS certified with Part B coverage for Labs. Medicare’s Provider Enrollment, Chain, and Ownership System (PECOS) regulation from the Centers for Medicare and Medicare Services (CMS) requires all practitioners who order testing to be enrolled in PECOS if claims are to be filed.
- Medicare Advantage patients without Out of Network benefits would be responsible for the full discounted cash rate.
- Medicare Advantage patients are required to pay a deposit at the time of submission
Are You In-Network with Insurance Companies?
- We are not contracted with any commercial insurance plans.
- We are considered Out-of-Network. However, many plans recognize our specialized testing.
- We are a Medicare provider.
What is an NPI?
- A National Provider Identifier or NPI is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
- NPIs are required for insurance billing and for participation in insurance billing programs, as of May 23, 2008.
Who Must Provide a Physician Authorization Form?
- Any non-licensed provider or provider whose scope of practice does not include ordering laboratory testing.
How to Order Collection Kits?
Clinicians must set up an account to order testing. Detailed instructions available at: Account Setup Information
- Existing account holders can order kits online via the online Practitioner Portal
- Customer can also order by contacting customer service via email or phone.
- Utilizing the Results Portal online is the quickest and best option.
Are the Collection Kits Shipped Free of Charge?
Diagnostic Solutions Laboratory charges for testing only. No charge is incurred for ordering collection kits shipped within the U.S.
- Collection Kits are sent via FedEx with 2–3 business day delivery.
- Test Kit comes with pre-paid envelope if mailed in the U.S.
- International customers pay for shipping unless a prior contract exists.
- Kits are easiest sent in boxes of 1, 4, 12, or 24 units.
Is Diagnostic Solutions Laboratory Accredited or Certified?
- Diagnostic Solutions Laboratory is a CLIA licensed and certificated laboratory.
- CLIA is the United States federal regulatory standards that apply to all clinical laboratory testing performed on humans in the United States, except clinical trials and basic research.
- (CLIA) – Clinical Laboratory Improvement Amendments regulate laboratory testing and require clinical laboratories to be certificated by their state as well as the Center for Medicare and Medicaid Services (CMS) before they can accept human samples for diagnostic testing.
Do You Offer Clinical Consultations?
Yes, we provide and encourage our free clinical consults to registered clinicians.
- Please contact our Customer Service team to schedule by phone at 877-485-5336.
- Our business hours are Monday–Friday, 8:30 AM to 5:30 PM.
What Does <dl Signify on the GI-MAP Report?
- < dl indicates "less than detectible limit."
What Are the Sample Collection Requirements?
- All our collection kits come with easy-to-follow instructions for the patient.
- Please check with your provider for any special instructions.
Additional stool collection instructions
Is the Patient Responsible for Postage?
- U.S. – No, collection kits include a pre-paid 2 business day return label if mailed within the U.S.
- International – International customers must pay for shipping unless prior contract exists.
Do Insurance Companies Reimburse for Your Testing?
- Insurance payment will vary depending on the patient’s insurance. Laboratory deductibles, in- or out-of-network requirements, and the patient’s insurance recognizing the medical necessity specified by the provider can impact reimbursement.
- The CPT codes for the testing are recognized and common in the U.S.
- DX codes provided by the health care provider must be included when we file to a patient’s insurance.
- See: Billing Policies for Practitioners
Can Canadian Providers Order Your Testing?
- We have many Canadian providers ordering our testing.
- We service providers all around the world.
Do You Only Offer Stool Testing?
We offer a variety of testing for GI issues, genomic health, organic metabolomics, advanced organic acids analysis, cytokine response, food sensitivities and allergies, and H. pylori analysis.
- Learn about Diagnostic Solutions Laboratory test options: Test Menu