Genetic Assays, Inc. - A Genetic Technology Company

Genetic Assays offers several billing options to our clients. We offer the flexibility and convenience of filing using any of the following options to best meet your needs:

Client billing: billing to group practice, health care provider and/or physician
Patient billing: billing the patient directly
Third-party-payer billing: billing to insurers with whom Genetic Assays, Inc.
has a claims processing agreement
Medicare: Genetic Assays will bill Medicare and accept assignment.

Client billing accounts will receive an itemized statement for Genetic Assays' services once each month. Payment of the statement is due upon receipt. Should you have any questions or feel your statement is in error, please contact us immediately to prevent any delays in adjustments or payments. Please include your client number on all correspondence and payments.

If local or state requirements preclude providing the patient's name to ensure confidentiality, we will be unable to provide patient billing. If you elect to have your patients billed by Genetic Assays, the patient's name, address, and telephone number must be included on the Laboratory Request Form. An insurance copy is included with each initial bill to assist the patient when submitting a claim for Genetic Assays' services to an insurance company. The insurance company should pay the patient directly. The patient is solely responsible for the charges. Patient bills are due upon receipt.

Patient's full name
Patient's current address with apartment number and zip code
Patient's current phone number with area code
Guardian's (responsible party's) full name, address, and phone number

THIRD-PARTY-PAYER BILLING

If local or state requirements preclude providing the patient's name to ensure confidentiality, we will be unable to provide third-party-payer billing. This option allows for billing to third-party-insurers with whom Genetic Assays has a claims processing agreement. For private insurers, please contact the billing department to ensure that Genetic Assays has a claims processing
agreement with them. Patients will be responsible for such charges as non-covered services, co-insurance charges, and deductible amounts depending on the type of coverage they have.

Genetic Assays will bill the patient's insurance company if the following information is provided:

Patient's full name
Patient's full address
Guarantor's (insured) name (if different from patient)
Insurance company complete name and address
Guarantor's (insured) group number
Guarantor's (insured) policy number
Proper ICD-9-CM diagnosis codes

If your patient has Medicare coverage, please send us complete information. Genetic Assays will bill Medicare and accept assignment. Complete information must be entered on Genetic Assays' Laboratory Request Form at the time the specimen is submitted. Genetic Assays Medicare provider number is 3402805 Please provide:

Patient's full name (as it appears on the card)
Patient's current address with apartment number and zip code
Patient's current phone number with area code
Patient's gender
Patient's date of birth
Medicare HIC # (9 numerics + 1 alpha suffix)
Diagnosis (ICD-9-CM code)
Referring physician's name (first and last)
Referring physician's UPIN (5 digits with alpha prefix)*
*This number must be included on Genetic Assays Lab Request Form at time of service.

If you have billing questions, contact the billing department at (615) 781-0709.

CPT codes provided in this Directory are provided only as guidance to assist you in billing. The CPT codes listed reflect our interpretation of CPT coding requirements only and are subject to change at any time. It is your responsibility to verify the accuracy of the codes listed and to assign values to each code based on the reimbursement for your area.

If you have any questions, please refer to your CPT manual published by the American Medical Association. To verify reimbursement, or if you have questions regarding usage of a CPT code, please contact your local Medicare carrier.