Cardiology Genetics Billing Policy

Payer	Policy
Commercial Insurance	GeneDx accepts all commercial insurance policies. Please be sure to send us complete insurance information, and include a copy of the front and back of the insurance card. GeneDx will bill insurance, and conduct the appeal process as necessary until all options are exhausted. The patient will not be responsible for any out of pocket expenses except for their co-pay, co-insurance and deductible amounts, which will be limited to $500*. For more information regarding commercial insurance billing at GeneDx, please call us at 301-519-2100, X 6727.
Institutional bill	GeneDx can bill a referring institution directly if an Institutional Account with GeneDx has been established. This allows the referring physician to submit samples through their facility’s send out laboratory. Establishment of an institutional account is very simple and requires only a phone call from the laboratory administrator to Dr. Sherri Bale at 301-519-2100, x 6102.
Self-Pay	GeneDx provides discounted pricing for self-pay patients. For more information, please call us at 301-519-2100, X 6106.
Medicare	GeneDx is currently not a Medicare provider and therefore not able to accept Medicare patient samples.
Medicaid	GeneDx is currently not a Medicaid provider and therefore not able to accept Medicaid patient samples.

* Except in New York where the waiver or reduction of co-pay, co-insurance and unmet deductible will be determined based on patient’s financial need.

If you have questions regarding commercial insurance billing at GeneDx, please do not hesitate to call us at 301-519-2100 x 6727. For all other billing questions, please call 301-519-2100 x 6106.

Family member testing: GeneDx also offers mutation testing for family members of any patient who has been identified previously by GeneDx to have a gene mutation. For more information, please call one of our genetic counselors at 301-519-2100.