- Aetna
- Aetna Better Health Kansas
- Aetna Better Health Virginia
- Ambetter of Oklahoma
- AmeriGroup Texas
- Anthem California
- Anthem Connecticut
- Anthem Georgia
- Anthem Indiana
- Anthem Kentucky
- Anthem Missouri
- Anthem New England
- Anthem New Hampshire
- Anthem Ohio
- Anthem Virginia
- Anthem Wisconsin
- Baylor Scott and White
- Blue Cross Blue Shield of Arizona
- Blue Cross Blue Shield of Illinois
- Blue Cross Blue Shield of Massachusetts
- Blue Cross Blue Shield of Tennessee
- Blue Cross Blue Shield of Texas
Seguro
Seguro
- CareFirst BlueCross & BlueShield
- Cigna Texas
- Community Health Choice – Community Marketplace
- Community Health Choice Inc.
- Cook Children’s Health Plan
- FedMed
- Fidelis Care NY
- Harvard Pilgrim Health Care
- Health Net
- Health Spring-Renaissance IPA
- Highmark Blue Cross Blue Shield of Delaware
- Highmark Blue Cross Blue Shield of Pennsylvania
- Highmark Blue Cross Blue Shield of West Virginia
- Maine Community Health Option
- Memorial Hermann Health Solutions Inc. Choice
- Memorial Hermann Health Solutions Inc. EDGE
- Memorial Hermann Health Solutions Inc. PPO
- Meridian Health Plan
- Molina Health Care of Texas
- MultiPlan
- Oklahoma Complete Health
- OSU Health Plan
- Ped-I-Care (Florida)
- Physicians Health Plan of Northern Indiana (PHPNI)
- POMCO (Government)
- Seton Health – Ascension SmartHealth
- Seton Health – Dell Children’s Health Plan
- Stratose (Network)
- SummaCare Ohio
- Superior HealthPlan
- Texas Children’s Health Plan
- Texas Health and Human Services (Government)
- Three Rivers Provider Network
- UnitedHealthcare Commercial (Texas)
- UnitedHealthcare Community Plan of Texas
- UnitedHealthcare Empire Plan (New York)
- Wellcare Oklahoma
- Wellmark Iowa
- Wellmark South Dakota
Medicaid*
Las pólizas de Medicaid enumeradas a continuación requieren la autorización previa de un proveedor solicitante.
Texas Medicaid y Texas Managed Medicaid ya no procesarán autorizaciones previas ni proporcionarán reembolso de pruebas que no estén cubiertas por la lista de tarifas de Texas Medicaid. Esto afectará principalmente a pruebas codificadas con 81479.
Compruebe siempre la lista de tarifas más reciente de Texas Medicaid antes de solicitar una autorización previa.
- BlueCross & BlueShield TX CHIP
- BlueCross & BlueShield TX STAR
- BlueCross & BlueShield TX STAR Kids
- Community Health Choice Inc. CHIP
- Community Health Choice Inc. STAR
- Cook Childrens Health Plan CHIP
- Cook Childrens Health Plan STAR
- Driscoll Children Health Plan
- Meridian Health Plan
- Molina Health Care of Texas CHIP
- Molina Health Care of Texas STAR
- Molina Texas Medicaid STAR+PLUS
- Scott & White HealthPlan Medicaid CHIP
- Seton Health Plan STAR
- Seton Health Plan CHIP
- Superior HealthPlan CHIP
- Superior HealthPlan Medicaid
- Superior HealthPlan STAR
- Superior HealthPlan STAR Kids
- Superior HealthPlan STAR Health
- Superior HealthPlan STAR+PLUS
- UnitedHealthcare Community Plan of Texas
State Medicaid
- Alabama
- California
- Colorado
- Connecticut
- Delaware
- Iowa
- Louisiana
- Maine
- Maryland
- Michigan
- Montana
- Nebraska
- New Jersey
- New Mexico
- New York
- Ohio
- Oklahoma
- Pennsylvania
- South Carolina
- Texas
- Utah
- Virginia
- Washington
- West Virginia
Medicare*
Somos un proveedor certificado de Medicare. El paciente debe cumplir los criterios específicos de Medicare para las pruebas genéticas. Se requiere un formulario de Notificación Anticipada de Beneficiario (ABN) completado si el paciente no cumple con los criterios.
*Requiere autorización previa de un proveedor ordenante.