Please submit all correspondence for billing purposes to firstname.lastname@example.org.
An increasing number of genetic tests are covered by insurance. We will courtesy bill insurance based on prior payment approval by your insurance company. Patients are responsible for any deductible and/or copay fees not covered by their insurance.
The following information must be submitted for insurance billing:
- A completed Test Requisition Form (TRF) (PDF) for Diagnostic Sequencing Services (PDF), including ICD-9/ICD-10 codes.
- A pre-authorization agreement from the insurance. Without pre-authorization, the patient carries the responsibility for payment (Self-Pay). For patients under Medicaid, please submit an Advance Beneficiary Notice of Non-Coverage (ABN) (PDF).
- A legible copy of both sides of the insurance card.
Institutional accounts are available for health care providers, hospitals, or research laboratories. Volume-based pricing discounts may be available. A fully executed service agreement must be on file before any services can be performed. Tests received from an institutional billing account cannot be revised to insurance billing.
We accept credit card, wire transfer, check or money order made payable to the Medical College of Wisconsin. Full payment must be received by the time of sample submission. Discounted pricing may be available.
Samples from international clients must be prepaid by credit card, wire transfer, check or money order in US dollars payable to the Medical College of Wisconsin. The Medical College of Wisconsin does not file international insurance claims. International clients who routinely submit samples to our clinical diagnostic laboratory are eligible for institutional billing. Volume-based pricing discounts may be available.