The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), launched a new COVID-19 Uninsured Program Portal, allowing health care providers who have conducted COVID-19 testing or provided treatment for uninsured COVID-19 individuals on or after February 4, 2020 to submit claims for reimbursement.
Clinical Pathology Laboratories (CPL) will file claims to any third party payer. Please include patient demographics and insurance information as applicable. If you have determined that the patient is uninsured, CPL will file the appropriate claim when the following information is received:
- Patient name, date of birth, gender and address.
- Patient Social Security Number and/or Driver’s License Number (and issuing state).
HRSA will cover ALL COVID testing sent to CPL including:
7305 | COVID-19 PCR | U0003 OR 87635 |
3571 | COVID-19/Influenza A/B PCR | 87636 |
7301 | SARS-CoV-2 IgG, N protein | 86769 |
7304 | SARS-CoV-2 Total Ab, N protein | 86769 |
3608 | SARS-CoV-2 Total Ab, S protein | 86769 |
CPL Test Code | Test Name | CPT Code |
---|
If ordering in Atlas on an uninsured patient, place the order as Insurance Bill.
- Select COVID-19 HRSA Uninsured Testing and Treatment Fund as the insurance type.
- Enter patients Driver’s License Number in as the Policy Number.
- Enter the two-letter state abbreviation as the Group Number.
- If the patient does not have a Driver’s License, place their Social Security Number as the Policy Number.
- For patients who confirm that they are uninsured but do not have a Driver’s License and do not want to give their Social Security Number, enter 999999 as the Policy Number.
For testing to be eligible for reimbursement by HRSA, claims submitted must include one of the following Diagnosis Codes:
Z86.16 | Personal history of COVID-19 |
Z20.822 | Contact with and (suspected) exposure to COVID-19 |
Z11.52 | Encounter for screening for COVID-19, asymptomatic |
Diagnosis Code | Description |
---|
Please contact your Account Representative should you have any questions.