Solutions Medical Center

No. When clinics bill insurance companies as an in-network provider, the providers are required to become participating providers. The providers must sign a contract that allows the insurance company to determine which services they will and will not provide, and how much they can charge for those services. In general, insurance companies are not focused on any preventative or wellness services. We are committed to the functional medicine model that addresses the underlying causes of your symptoms with specific nutritional and lifestyle recommendations. For patients with Medicare, we require your completion and signature of the Opt Out private contract form which states that we do not and you must not bill Medicare for services provided by the staff at Solutions Medical Center.

Yes, however you are still responsible for deductible. A copy of your insurance information will be sent along with your lab work. Insurance will typically not cover all the testing, but that doesn’t mean that it won’t benefit you in some capacity. Your insurance carrier should send you an EOB that explains, in detail, the services that were either paid or denied. You may also find this information on the invoice.

Please do not panic if you receive a large bill from the lab company! First, please make sure it is an actual bill not an Explanation of Benefits (EOB). We use InsightDx/BioRefence and Quest Diagnostics, and Lab Corp laboratories for specimen processing. All have contracts with all national carriers and hundreds of regional carriers to simplify billing and minimize out-of-network billing issues.

If your bill is due to improper coding from our office, we will recode your tests in order for your insurance company to cover more of the test(s) cost. If you have any questions about the cost of your lab bill, please contact our office at 901-853-6428.

We employ a variety of tests to determine the root cause of a person’s health issues. The number of tests recommended will depend on your individual situation, including the number of issues you struggle with and the length of time you have been experiencing them. Some labs that involve stool, urine or saliva samples are done by you in your home. You will be given all lab kits and step-by-step instructions for at home test at the time of your consult. Examples of other testing methods we use beside blood work:

• GI Stool Effects®
• DUTCH Testing
• ZRT Hormone and Neurotransmitter Panel
• H. Pylori and SIBO Breath Tests
• IgG Food Sensitivity Panel

Initial blood work is performed “fasting”, which means nothing except water or black coffee 8 hours before your visit. Please remember no supplements, vitamins, hormones or medications (except heart and blood pressure medications) the morning of your initial appointment. Fasting for any follow up blood work is at the discretion of your medical provider and will be determined before any follow up appointments.

Our providers are available for consultations through phone or email. They prefer your first appointment take place in person, however we have several patients from across the United States that are unable to travel to our location. If you fall within that category, please call our office to set up an initial phone consultation appointment to discuss your concerns and to let you know which lab work to have drawn (and where this needs to be done).

You may use pre-tax dollars from a Health Savings Account (HSA) to pay for your consultations and lab fees.