AML Billing Department Information
AML Billing Guide 2012
Daily Billing Charges Posted Daily billing logs are available to allow timely review of all charges applied to your account. Please alert your account representative if you would like a daily billing summary sent to your office. 
Reflex Test List (2012)
Billing Corrections - Forms & InstructionsPlease 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-9 code is preferred)
- Guarantor (if patient is under age 18)
Requests for billing changes MUST BE SUBMITTED within 60 days of invoice receipt.
Insurance Adjustment Form (Interactive)
Here is the Billing Correction Form in a PDF format that can be printed and faxed to the above number.
View Billing Correction Form
Insurance Adjustment Form Instructions |
