- Aetna HMO*
- Aetna Elect Choice
- Aetna QPOS
- Aetna Select
- Aetna Managed Choice POS
- Aetna Choice POS II
- Aetna Open Access Student MC
- Aetna Signature Administrators
- Aetna Joint Claims Administration
- Aetna Passport to Healthcare
- Aetna PPO
- Aetna National Advantage
- Aetna National/First Health Network
- AmeriGroup Kansas
- AmeriGroup Texas
- Anthem California
- Anthem Connecticut
- Anthem Georgia
- Anthem Indiana
- Anthem Kentucky
- Anthem New England
- Anthem New Hampshire
- Anthem Missouri
- Anthem Ohio
- Anthem Virginia
- Anthem Wisconsin
Seguro
Seguro
- BlueCross & BlueShield Idaho
- BlueCross BlueShield of Arizona
- BlueCross & BlueShield of Illinois PPO
- BlueCross & BlueShield Massachusetts
- BlueCross & BlueShield Michigan
- BlueCross & BlueShield Tennessee
- BlueCross & BlueShield TX Blue Essentials HMO*
- BlueCross & BlueShield TX PAR Indemnity
- BlueCross & BlueShield TX Health Select
- BlueCross & BlueShield TX PPO – Blue Choice
- CareFirst BlueCross & BlueShield
- CIGNA Texas HMO*
- CIGNA Texas PPO
- Community Health Choice – Community Marketplace
- FedMed
- Health Net
- Health Spring-Renaissance IPA
- Highmark BCBS
- Humana Commercial PPO
- Humana HMO*
- Humana POS
- Humana EPO
- Humana HMO Premiere*
- Humana Choice Care Commercial PPO
- Humana Choice Care POS
- Humana Military – Tricare*
- Maine Community Health Option
- Memorial Hermann Health Solutions Inc. Choice
- Memorial Hermann Health Solutions Inc. EDGE
- Memorial Hermann Health Solutions Inc. PPO
- Molina Health Care of Texas HMO
- MultiPlan
- Oklahoma Complete Health
- OSU Health Plan
- Ped-I-Care (Florida)
- Physicians Health Plan of Northern Indiana (PHPNI)
- POMCO [Government]
- Scott & White Health Plan HMO
- Scott & White Health Plan PPO
- Seton Health Plan PPO
- Seton Health Plan EPO
- Stratose [Network]
- SummaCare Ohio
- Texas Children’s Health Plan
- Texas Health and Human Services [Government]
- Three Rivers Provider Network
- United Healthcare [Commercial]*
- United Healthcare Empire Plan (New York)
- 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
- Alaska
- Arkansas
- California
- Colorado
- Delaware
- Georgia
- Florida
- Hawaii
- Idaho
- Illinois
- Indiana
- Kansas
- Kentucky
- Louisiana
- Maine
- Michigan
- Missouri
- Montana
- Nebraska
- New Hampshire
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Wisconsin
- West Virginia
- Wyoming
- Washington, DC
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.