Allina Health Laboratory Billing Department
AHL Billing Guide
AHL Manual Request Billing Instructions Guide
XIFIN client portal
XIFIN client portal
User Request Form
The nationwide transition from ICD-9 to ICD-10 occurred on Oct. 1, 2015.
The new ICD-10 code sets allow providers to document more details about their patients’ health conditions and hospital procedures than ever before. These details lead to a better record of a patient’s history, and in turn, lead to better care for patients across different providers. Previously, for example, a provider used an ICD-9 code to indicate a patient has a broken arm. With ICD-10, the provider uses a more specific code to indicate whether it’s the right or left arm broken, providing a better understanding of the patient's injury or condition.
If you would like further information, you can refer to the Centers for Medicare & Medicaid Services (CMS) website.
Centers for Medicare & Medicaid Services
Reflex test list
Billing corrections - Forms & Instructions
Please clearly print your corrections on the Insurance Adjustment Form
To remove charges from your account and send to patient's insurance, please provide the following:
- Patient's full name
- Date of service
- Accession Number
- Patient address
- Insurance group and policy numbers for both primary and secondary policies
- Diagnosis (ICD-10 code is preferred)
- Guarantor (if patient is under age 18)
Requests for billing changes must be submitted within 60 days of invoice receipt.
Here is the Insurance Adjustment Form in a fillable PDF format that can be completed printed, and faxed to (612) 863-0460.
Insurance Adjustment Form
Intstructions and examples:
Insurance Adjustment Form Instructions
Insurance Adjustment Instructions Example
Questions Call: (612) 863-0400
Client CPT and fee requests
How do I determine CPT codes for billing?
It is your responsibility to determine the correct CPT codes to use for billing. CPT codes provided by Allina Health Laboratory in our test catalog, or by our billing department, are for informational purposes only. This coding is based on the Current Procedural Terminology (CPT) guideline manual published by the American Medical Association and the local and third party payer requirements. Any questions regarding the use of a code should be referred to your local Medicare carrier or the payer being billed.
Allina Health Laboratory assumes no responsibility for reimbursement you may or may not receive based upon the procedure codes listed.
If you are unable to locate a CPT code in our test catalog, or are requesting the fee for a particular test, submit a completed CPT/Fee request form (linked below) and we will respond with the requested information.
CPT/Client Fee Request Instructions
Client CPT Fee Request Form
Client Provider Updates
Client Provider Change Form
Advance Beneficiary Notice and Non Covered Services Waiver
If you are able to supply a copy of the completed document to the patient, you may print the document from this link. If you are not able to make a copy of the completed form for the patient, multi-copy forms can be ordered from the Allina Health Laboratory Supply Catalog under Forms-Information Pads.
How to Complete an Advanced Beneficiary Notice
Medical Necessity test list
Non-covered services waiver
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