Tel: 212-772-3111

Billing

Save Money, Time & Paper! Click below to use our NEW secure online bill pay option!

For Exams performed after 1/1/2011, please click below to pay online:

For exams performed before 12/31/2010, please click below to pay online:

Please contact our billing department if you have any questions about your bill. You may contact us by telephone, fax, e-mail or by completing the form below.

TEL: (212) 772-3111, then press 6.
Fax: (212) 861-1796
billingquestions@lenrad.com

Billing Question Form:

First Name:

Last Name:

Account #:

Exam:

Date of Exam (mm/dd/yy):

Comment

If you would like to submit/confirm insurance information, please fill in all fields below:

Primary Insurance

Insurance company Name:

Address on back of card:

Telephone Number:

Name of Insured:

Policy Number of Insured:

Group Number of Insured:

Relationship to Insured:

DOB of Insured:

Secondary Insurance

Insurance company Name:

Address:

Telephone Number:

Name of Insured:

Policy Number of Insured:

Group Number of Insured:

No-Fault/Workers Compensation

Insurance company Name:

Address:

Telephone Number:

Claim Number:

Accident Date:

Name of Insured:

Policy Number of Insured:

Email Address:

We will respond within the next business day

Billing

Billing Question Form:

Our Locations: