Genetic Testing Claims Guide for Health Plans | Informed DNA

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Genetic Testing Claims Guide for Health Plans

Thirty percent of genetic testing claims are coded inaccurately—and this can lead to higher-than-necessary genetic claims costs. Yet most payers aren’t aware they are paying more for genetic testing than they should.

How does this happen? Typically, overbilling, or overpayment, can occur when:

  • Payers’ claims systems can’t identify the actual test performed;
  • Codes, or unit counts of codes, are inappropriate to bill for the specific test;
  • Non-covered tests are billed and paid;
  • Allowed amounts vary 10-20X for the same test.

The result: significant expense that could be avoided with the right genetic claims editing approach in place.

Learn four practical strategies for reducing unnecessary genetic test claims payments – download our new guide paper: “Eliminating the Hidden Costs of Genetic Testing Claims.”

InformedDNA Genetic Testing Claims Guide

We hope you’ll find these best practices insightful. Questions on overcoming genetic test claims payment challenges? Contact us to continue the conversation – just use the form below or call us: 800-975-4819.