I hereby assign all rights and benefits under my health plan and all rights and obligations that I and my dependents have under my health plan to the lab, its assigned affiliates and authorized representatives for laboratory services furnished to me by the Lab. I irrevocably designate, authorize and appoint the lab or its assigned affiliates and their authorized representatives as my true and lawful attorney-in-fact for the purpose of submitting my claims, obtain a copy of my health plan document, Summary Plan Description, disclosure, appeal, litigation or other remedies in accordance with the benefits and rights under my health plan and in accordance with federal or state laws. If my health plan fails to abide by my authorization and makes payment directly to me, I agree to endorse the insurance check and forward it to the lab immediately upon receipt. I hereby authorize the lab, its assigned affiliates and authorized representatives to contact me or my health Plan/administrator for billing or payment purposes by phone, text message, or email with the contact information that I have provided to the lab, in compliance with federal and state laws. The lab, its assigned affiliates and their authorized representatives may release to my health plan administrator, my employer, and my authorized representative my personal health information for the purpose of procuring payment of the lab and for all the laboratory services. I understand the acceptance of insurance does not relieve me from any responsibility concerning payment for laboratory services and that I am financially responsible for all charges whether or not they are covered by my insurance. I am aware that If the result is positive, the lab will report it to Dept of Health as required.