Ambry Genetics reports results from clinical diagnostic exome™ testing of three patients.
Billing & Insurance Information
Ambry Genetics works with all of our clients to facilitate easy and convenient billing. Please click the links below to learn more.
Ambry Genetics offers to bill insurance carriers directly and accepts the amount of coverage of the test cost assigned by the insurance company. For all 'insurance-bill' samples that are submitted, Ambry will pre-verify patient insurance coverage.
If the estimated patient out-of-pocket costs for co-pay, co-insurance, and/or deductible is greater than $350, Ambry will notify the patient. If you would like us to call your patient regardless of the total out-of-pocket costs, please state this on the Ambry test requisition form.
By law, patients are responsible for co-pay, co-insurance and unmet deductibles; thus, your patient will be required to pay for these amounts. In addition, when applicable, your patient will be responsible for paying any charges for services determined to be not medically necessary by the insurance carrier.
View the CPT codes with units to assist in the prior-authorization and billing process.
Learn how to consolidate your send-out tests with Ambry and immediately lower your laboratory operating budgets.
Obtain information about setting up an institutional account.
Insurance Carriers & Health Plans
Ambry Genetics is contracted with a long list of insurance carriers and health plans, either directly or via network providers. Please call Ambry Genetics at (949) 900-5500 to verify coverage under specific insurance carriers or health plans.
Insurance Billing & Insurance Preverification Requests
Obtain information for billing patients with insurance coverage/preverfication request form to have us verify insurance coverage and share of cost.
See our Medicare provider information and the Medicaid states we are contracted with. Front and back copy of insurance card and insurance authorization must be included. A completed Advance Beneficiary Notice (ABN) is required for Medicare patients. Call our Billing Department to check status of states not listed.
Obtain information for patients who will be paying for testing out-of-pocket (due to no insurance or other coverage).
Obtain information for clients sending in samples from outside the U.S.