Monday, May 27 is Memorial Day. Our lab and all support services will be closed. Kit orders placed on May 27 will be sent on May 28, and all in-transit patient samples will be held by the carrier and received on May 28. If you need assistance, please leave a message at (888) 729-1206 or and we will respond when we return on May 28.

GeneDx’s dedicated billing team is committed to making the process quick and easy. 

Our dedicated team of billing experts is available to answer patients’ questions so you can focus on providing the best care.

Billing Options

GeneDx accepts all commercial insurance, Medicare, Medicaid, and Tricare and encourages prior authorization (PA) for all test orders. We offer self-pay pricing and a Financial Assistance Program (FAP) for eligible patients. In addition, we can bill your institution directly.

Commercial Insurance

We are in-network with many national and regional health plans. For a complete list of in-network plans, please refer to our In-Network Contract List.

How to Help Ensure a Smooth Billing Process with Commercial Insurance

We encourage you to submit a prior authorization and supporting documentation, such as a clinic note, up front with each test order. This information can also help us uncover more actionable answers for your patients.

The following information should be submitted at the time of order placement:

  • Clinic note including the following information:
  • Patient medical records supporting the need for testing
  • Description of how testing may impact the patient’s clinical management
  • Documentation of patient counseling, including review of family history (by genetics professional when required)
  • Copy of the patient’s primary insurance card (front and back)

Some health insurers may require:

  • Prior authorization approval documentation
  • Health insurance-specific forms
  • History of prior genetic testing
  • Copy of patient’s secondary insurance card (front and back)

The above list is not exhaustive, and some items do not apply as payor criteria vary. Some commercial health insurance plans may require additional documentation to complete the prior authorization and/or billing process. You can access those forms here.

Please note: Missing information could result in delayed or canceled testing. We may contact you if additional information is needed.