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Adverse Drug Reactions are the 4th leading cause of death in the U.S.

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Is it Covered by Insurance

How to Apply for Insurance Reimbursement

To secure reimbursement for the cost of pharmacogenetic or drug reaction testing, most insurance companies will ask you for the following:

Invoice

Genelex will send and invoice with CPT codes at your request for pharmacogenetic or drug reaction testing orders. CPT Codes tell your insurance company what lab work was done.

Reimbursement Form

Each insurance company has their own form. Call your company to request this form.

Letter of Medical Necessity

Some insurance companies will ask for a letter from your doctor that confirms this testing is medically important. You can phone your doctor’s office to request this.

ICD-9 Codes

These codes tell the insurance company the medical diagnosis that makes testing necessary.. Your doctor will need to provide these codes. If a letter of medical necessity is required, ICD-9 codes can be included in the letter.

Insurance coverage will depend on your individual policy. If insurance coverage is necessary for you to test, you can call your insurance company’s customer service line before testing to secure pre-authorization.

Insurance Company Websites

Aetna
Blue Cross Blue Shield
Cigna
Group Health Cooperative
Group Health Incorporated
Guardian Life Insurance
Health Net
Humana
Kaiser Permanente
Medica
Oxford Health Plans
PacifiCare
UniCare
United HealthCare

Anonymity

Some customers prefer to order testing through Genelex and not use insurance, in order to keep their testing and test results off their medical record. We do not share your information with any third party without your written permission.

Disclaimer

The content of this web site is for public use, free of charge, and for information only. It is not intended to be used in any other way. The authors disclaim any liability, loss, injury, or damage incurred as a consequence, directly or indirectly, of the use and application of any of the content of this web site.

The information presented on this site is intended as general health information and as an educational tool. It is not intended as medical advice. Only a physician, pharmacist, or other healthcare professional should advise a patient on medical issues and should do so using a medical history and other factors identified and documented as part of the health professional/patient relationship.


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What our clients say...

"I just wanted to call and tell you that my physician switched my medications based on my test results, and I cannot describe how much better I feel. You have made a believer out of me, my family, and my physician. I hope this testing becomes routine before anyone is placed on long term medication."
- PY, Eirie, CO