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We will bill the patient's insurance for the
following carriers listed below. Please attach a copy
of the patient's
insurance card to the billing information form. Referring
physicians must obtain pre-authorization, as needed,
from the patient's insurance provider. The patient is
responsible for any percentage, co-payment, deductible,
or non-covered items.
Aetna HMO--Pre-authorization may be required for testing
Aetna PPO--Some plans contracted with
LabCorp, DLO, or Quest please verify with insurance
BCBS and BCBS Federal--Predetermination is required for all DNA tests
Bluelincs--Predetermination is required for all DNA tests
Cigna--Some plans contracted with DLO please verify
with insurance
Community Care (PCCP network)
Custom Group Services
Evolutions
First Health/Coventry--Some plans use provider networks such as OHN, please confirm we are in network with the patient's plan
Healthchoice-For some plans genetic testing is excluded. Please call customer service at 405-416-1800 and give the CPT code for the test you want to order to verify exclusion status. If the code is not excluded then you can proceed with the preauthorization request. All genetic testing not excluded requires preauthorization including Cytogenetics.
Humana
Oklahoma Medicaid Fee For Service program
Oklahoma Medicaid Soonercare Rural Health program--Referral
from PCP required, CF sequencing and Fragile X testing require preauthorization
Medicare--Based on medical necessity see list
Pacificare/Secure Horizons--Some plans require pre-authorization
please verify with insurance
Physicians Direct Network
Plico
Preferred Community Choice
PPO Oklahoma
Tricare Humana-Click here for more
information
United Healthcare--Some plans are contracted with Myriad Genetics and/or LabCorp for testing please verify with insurance
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