Privacy Practices and other Forms

BioTech X-ray (BTX) takes protection of your medical records very seriously. We comply with the HIPAA Policy and protect the rights of patients by providing them with access to their protected health information (PHI), if allowable under state law, and the ability to control the use and disclosure of their PHI. Read our Privacy Practices.

Consent for Services

Medicare and/or your insurance company does not pay for everything, even some care that you or your health care provider have good reason to think you need.

All Medicare providers, including BTX, are required to utilize an Advance Beneficiary Notice of Non-coverage (ABN) when we have reason to believe a service will not be covered. If we believe Medicare and/or your insurance carrier will not pay for the services your clinician has requested, we may ask you to sign an Advance Beneficiary Notice of Non-coverage (ABN).

There are some tests that are statutorily excluded under Medicare. For those tests, the Medicare provider is not required to obtain an ABN, but can bill the patient directly for those services.

ABN Missouri & Illinois

ABN Iowa

ABN Kansas & Oklahoma

Read our Credit Card Refund Policy here.

Proud member of the American Portable Diagnostics Association