If you are billing lab services through the hospital, these are rural hospitals, do those services need to be billed on institutional claims or professional? These are ONLY labs for patients that are not admitted to the hospital. They are either walking in to the laboratory to get the labs done, a TOB 131 or they are having their labs drawn at their physician’s office and they are being sent to the hospital, TOB 141.

UHC and Aetna are stating they will not pay for a TOB 141 through the hospital. Thoughts? Advice? Anything?