A system includes a test device at a test location, a recipient computer at a diagnosis center, and a server operatively connected to the test device and the recipient computer remote from the test location and diagnosis center at a different facility. The test device can generate test data. The recipient computer is configured to receive the patient data from the test device and display the test data to a medical specialist for entry of a diagnosis. The server can send a signal to the recipient computer after the test device produces test data, and further transmit input indicative of the diagnosis to the computer at the test location. The billing computer is configured to receive billing information from the test device and recipient computer, and transmit signals conveying information indicative of billing signals to a payer computer selected as a function of insurance information contained in the patient record.