Transgenomic Molecular Laboratory – Billing and Insurance

PAYMENT OPTIONS

U.S.
Transgenomic Molecular Laboratory accepts checks, money orders, credit card (AMEX/MasterCard/Visa) payments and wire transfers (see below). The card type, cardholder name and signature, credit card account number, expiration date, and e-mail address must be provided on the test requisition form. There is a $25.00 processing fee for insufficient check payments. Make checks or money orders payable to: Transgenomic, Inc., 12325 Emmet Street, Omaha, NE 68164

Non-U.S. Customers
Non-U.S client samples must be prepaid by credit card (AMEX/MasterCard/Visa) or wire transfer payment (see below) only unless prior arrangements are agreed and specified in an institutional billing contract.

Wire Transfers
Payments can be made via wire transfer from your bank. Please contact Jill Albers at 402-452-5426 or jalbers@transgenomic.com for transfer information.

INSTITUTIONAL BILLING

Referring medical institutions such as clinics, hospitals, laboratories and physicians may establish an institutional billing account which will provide convenient monthly invoicing and payment options. Complete billing information must be on the test requisition form when samples are submitted. You may also select the option to establish an institutional credit card payment account. For questions or help in establishing and institutional billing account, please contact Jill Albers at 402-452-5426 or jalbers@transgenomic.com

SELF PAY

Patients have the option to provide full payment at the time of sample submission. The total cost of the analysis must be included with the sample and requisition. Transgenomic, Inc accepts checks, money orders, credit card and wire transfers as methods of payment. Prepaid patient samples are eligible for a prompt payment discount. It is not permitted to file insurance on discounted fees.

INSURANCE

Commercial Insurance Billing
Upon request, Transgenomic will bill commercial insurance carriers for testing. Prior to testing, Transgenomic will pre-authorize coverage with the respective insurance company to verify patient eligibility and policy benefits. In order to properly bill the commercial insurance carrier for services performed, the following information is required before testing can be completed.

Complete insurance information including legible front/back copy of the insurance card.
Complete patient demographic information, including first name, last name, date of birth, current address and phone number.
HMO authorizations and referrals.
Patient signature on assignment of benefits and authorization to release information.
All appropriate ICD-9 codes.
Referring physician name, address and NPI.
A letter of Medical Necessity from the referring physician is recommended for all genetic testing.

****Patients may be fully liable for fees due to insurance benefit coverage limitations, contract exclusions, non-covered services, non-authorized services, deductibles, co-insurance or balances after insurance reimbursement. Affordable payment terms for balances may be arranged through the billing office. Contact Lisa Winther to make arrangements at 402-452-5444 or lwinther@transgenomic.com.****

Tests received with institutional billing instructions cannot be revised to bill insurance at a later date. Tests received with insufficient insurance billing information, will be billed to the referral source.

Medicare
Transgenomic Molecular Laboratory accepts all Medicare samples.

****The billing requirements are the same as Commercial Insurance****

Medicaid
Transgenomic Molecular Laboratory accepts Medicaid for the following states:

Arizona
Colorado
Florida
Georgia
Illinois
Iowa
Indiana
Michigan
Minnesota
Missouri
Nebraska
New Jersey
Ohio
Pennsylvania
South Carolina
Tennessee
Texas
Washington
Wisconsin

****The billing requirements are the same as Commercial Insurance****

Other Agreements & Prior Authorizations
For other agreements and prior authorizations, call Client Services at: (866) 500-GENE / (866) 500-4363 for additional details and requirements.

FINANCIAL ASSISTANCE PROGRAM

Transgenomic, Inc realizes the financial impact extensive medical services can be for some families. With this in mind, Transgenomic has developed a Financial Assistance Program to possibly benefit patients that are uninsured and who cannot afford to pay their bill.

In order to apply for this program, the Financial Assistance Program application form must be completed in full and submitted to the Billing Office with a copy of the previous years federal tax return. The following forms could also be requested to complete the review:

Explanation of patient or family’s financial barrier.
Copies of the previous years state tax return
Copy of W-2.
Explanation of any government assistance program you are currently receiving.

At the completion of the review, Transgenomic, Inc will contact you in writing with their decision.

Because of certain federal and state regulations, we cannot waive deductibles and co-insurance from insurance companies. Therefore, our Financial Assistance Program is only available to patients who do not have health insurance coverage.

For any questions regarding this program, please contact Lisa Winther at 402-452-5444 or lwinther@transgenomic.com

CANCELLATION POLICY
Test orders may be cancelled only if the following procedure is completed before 5:00 pm (central time) the same business day the sample is received. Cancellation of test orders received after that time cannot be honored and will be fully processed and charged with reports issued.
For cancellations or revisions:

Call Client Services at: (866) 500-GENE / (866) 500-4363 for authorization and approval.
A Test Requisition Form (or copy of the original) will be faxed to your institution for an authorized signature.
Upon completion, fax the signed cancellation form back to Transgenomic, care of Client Services to 402-452-5459.

SALES TERMS AND CONDITIONS

Click here to view our Sales Terms and Conditions.

Top of Page