Multiplan
Blue Cross Blue Shield of MA
Health Partners
Medical Cost Containment Professionals (MCCP)
Three Rivers Provider Network (TRPN)
Veterans Affairs’ (the VA’s) Community Care Network (CCN)
Insurance & Billing Facts for U.S. Patients*
Commercial Insurance
Although CDI will submit a claim to all commercial insurance providers, most commercial insurance providers do not consider CDI as an in-network provider. The good news is you’ll never pay more than $199 out of pocket per breath test!**
CDI’s dedicated market access team is continuing to work through credentialing and contracting. Here is a list of our current in-network providers:
If you have commercial insurance and your insurance plan is not listed under CDI’s in-network providers, please call your insurance company and provide the below information. However, you will most likely be responsible for the maximum out-of-pocket cost of $199 per breath test.
For Breath Tests:
CPT code: 91065 x 2 units
Tax ID #: 47-4725769
NPI #: 1831625342
Insurance payments are applied to the registered cost of our test, $549. All non-covered costs are your responsibility. Your maximum out-of-pocket cost will not exceed $199 if you pay promptly in accordance with CDI’s payment policies and programs.
Pay Your Bill
A better billing experience awaits you on the web!
If you received a bill via text, email or in the mail from CDI's patient communication system, Inbox Health, click the link to easily access your bill and pay online.
Send your payment in the mail. Please be sure to include patient name and date of service on the check, or include a separate note with this information.
How to Read your Bill from CDI:
CDI offers convenient payment plans and financial hardship programs for those that qualify. Download the forms and contact customer service to discuss your options.
Appeal Your Claim
If your insurance provider left you with a balance and/or denied your claim, and is not listed as an in-network provider with CDI, we can help you start an insurance appeal letter.
We do not guarantee that this appeal letter will be accepted by your insurance provider as they have the right to deny out-of-network claims. You/the patient are still responsible for the balance due.
Insurance & Billing FAQs
Does CDI offer payment plans?
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
Can I mail in a check for payment?
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, 39 Norman Street, Salem, MA 01970. Your payment will be applied to your account once received.
My insurance is out of network; how much will I be billed for this test?
If you pay promptly, which means within 30 days of receipt of your first bill, your maximum out-of-pocket cost will not exceed $199 per hydrogen & methane breath test.
I have commercial insurance, and my insurance plan is not listed under CDI’s in-network providers, how do I know how much I will owe for my 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 $199 per breath test.
For Breath Tests:
CPT code: 82542 x 6 units
Tax ID #: 47-4725769
NPI #: 1831625342
My insurance plan is listed on CDI’s website as an in-network provider but I have not met my insurance deductible. Will I owe anything for this test?
Contributions towards your deductible by your insurance do not count as payment towards the claim and will not be subtracted from your balance
My insurance company paid a portion of this claim; why am I still being billed?
For breath tests – Insurance payments are applied to the registered cost of our test, $549. All non-covered costs are your responsibility. Your maximum out-of-pocket cost will not exceed $199.
How is my insurance billed?
Breath Tests: If applicable, CDI will submit a claim to insurance at the registered cost of the test, $549 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, $549, and the remaining balance is the patient’s responsibility but will never exceed $199 per test. If an insurance payment is made directly to the patient, the patient is responsible for forwarding the payment to CDI.
My doctor has not received my test results so why am I receiving a bill?
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.
Why am I receiving a bill if I have health insurance? Was this claim billed to my insurance?
We submitted your claim to the insurance you provided on the requisition form, and your balance due is your responsibility. For further clarification as to the amount your insurance paid or did not pay, please contact your insurance provider directly.
Why was I not told upfront that my insurance was out of network?
It is your responsibility as the patient to confirm if your insurance will cover the test. For further clarification as to why your insurance company did not make a payment, please contact your insurance company directly.
I contacted my insurance and will be appealing this claim and/or they will be paying for this test. Do I still have to pay this bill?
We will apply the paid amount to your account once we receive payment from your insurance provider. In the meantime, you will still receive statements since 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.
My EOB state that I owe less than $199. Is that correct?
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 $549, 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.
What do I do if my insurance provider pays me directly?
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, and the remaining balance is the patient’s responsibility but will never exceed $199 per breath test.
Terms of Use
CDI will submit a claim on the patient’s behalf to commercial insurance, Medicare or Tricare. Insurance may cover some or all of the test depending on the patient’s insurance plan and benefits. In the event the patient’s insurance provider denies the insurance claim, or if the patient has not met the deductible or has a coinsurance or co-pay, or if for any reason the insurance does not cover the full amount of the test, the patient is responsible to pay CDI for products and services received. CDI does not accept any Medicaid plans: therefore any Medicaid patient taking a test will be responsible for the full cost of the test prior to receiving results. CDI offers convenient payment plans and financial hardship programs for qualifying patients. Patients may pay upfront via check sent with the kit or credit card. The maximum out-of-pocket cost is $199 per breath test for patients that pay promptly in accordance with CDI patient billing policies and programs.
* Information listed is for U.S. residents only. Contact CDI customer support or your healthcare provider for international insurance and billing information.
** Insurance payments are applied to the registered cost of our test, $549. All non-covered costs are the patient’s responsibility. However, as a courtesy, the out-of-pocket cost will not exceed $199 for breath tests regardless of what insurance applies to your balance if you pay promptly in accordance with CDI’s payment policies and programs.