Insurance & Billing Policies

CDI offers convenient payment plans and financial hardship programs for those that qualify. Click here to download a form and contact customer service for more information.

Payment Plan Form

Financial Hardship Form

CDI accepts checks. Please write your check out to Commonwealth Diagnostics International, Inc. and send to the following address: Commonwealth Diagnostics International, Inc., Attn:  Billing, 4 Technology Way, Salem, MA 01970.  Your payment will be applied to your account once received.

If you pay promptly, which means within 30 days of receipt of your first bill, your maximum out-of-pocket cost will not exceed $299 per hydrogen & methane breath test.

Call your insurance company and provide the below information. However, you will most likely be responsible for the maximum out-of-pocket cost of $299 per breath test.

For Breath Tests:
CPT code: 82542 x 6 units
Tax ID #: 47-4725769
NPI #: 1831625342

Please reach out directly to your insurance carrier for information regarding coverage and any potential impacts. Contributions towards your deductible by your insurance do not count as payment towards the claim and will not be subtracted from your balance. Your insurance carrier may allocate an amount toward your deductible that is less than your total responsibility amount. You may also have listed copay or coins rates that apply. We encourage that you review your plan terms and discuss with your carrier prior to testing.

Insurance payments are applied to the registered cost of our test, $699. Any balance is patient responsibility.  Your maximum out-of-pocket responsibility will not exceed $299. Your account balance may be higher if your insurance carrier forwards their payment to you rather than directly to CDI.

If applicable, CDI will submit a claim to insurance at the registered cost of the test, $699 with CPT code 91065 at 2 units.  All insurance payments paid directly to CDI or to the patient will be applied to the registered cost of the test, $699, and the remaining balance is the patient’s responsibility but will never exceed $299 per test.  If an insurance payment is made directly to the patient, the patient is responsible for forwarding the payment to CDI.

CDI will submit claims to Medicare, Medicare Advantage, Tricare, and all commercial insurances. CDI cannot submit claims to Medicaid.

Results are sent to your provider within 24-48 hours upon receipt of your sample at our laboratory. If you are receiving a bill, results have been reported to your provider.  Please have your provider contact CDI customer service.

We submit claims to the insurance provided on the requisition form (Medicare, Medicare Advantage, Tricare, and all commercial insurances. CDI cannot submit claims to Medicaid.), and any balance due is patient responsibility. For further clarification as to the amount your insurance paid or did not pay, please contact your insurance provider directly or consult your EOB (Explanation of Benefits).

It is the patient’s responsibility to confirm if their insurance will cover the test and how much they may contribute towards the claim. For further clarification as to why your insurance company did not cover the claim amount, please contact your insurance company directly.

You will need to contact your insurance company prior to testing to determine potential coverage, co-ins or co-pays, and if your insurance company requires prior approval for this procedure. If the insurance carrier states that an authorization is necessary, this will need to be obtained by your ordering physician, as they are the party capable of proving medical necessity. You may need to work with your insurance and provider to coordinate this process. Once an authorization is obtained, it should be forwarded to CDI with your test paperwork and insurance information. 

We will apply the amount to your account once we receive the payment from your insurance provider.  In the meantime, you will still receive statements as the claim was already processed and there is a balance due. You can also pay your balance now to close out your account, and we will reimburse you if required.

If you provided card information on the requisition form, it may be charged once we receive the initial insurance decision. Please reach out to us at customerservice@commdx.com for any questions or to discuss options.

Your EOB is a summary of charges if we were in-network with your provider. Please review your insurance plans out-of-network policy which should either be listed on your EOB or on the insurance website.  The cost of our test is $699, any insurance payments received are applied to the total cost of the test, and anything not covered by insurance is your responsibility which is stated on the requisition form that you signed.  If you see “plan discount” on your EOB and we are not in-network with your provider, no plan discount has been negotiated or agreed upon with a signed contract between CDI and your insurance provider, so this does not apply to your claim.

If your insurance company pays you directly for any portion of your claim, you are responsible for sending the payment amount to CDI.  Insurance payments made to the patient directly will be applied to the registered cost of the test of $699. The remaining balance is the patient’s responsibility but will never exceed $299 per breath test. If your insurance company sent their contribution to you, your account balance will have this added to your patient responsibility amount and thus may be listed as higher than $299.