Insurance Billing & Insurance Preverification Request

Ambry Genetics requires that all insurance cases come with
a completed Test Requisition Form, including ICD-9 codes. HMO authorizations or referrals should be attached.

Please send a copy of the front and back of the patient’s insurance card for both primary and secondary insurance carriers. If the card is not available, a copy of the patient's demographic information or their clinic registration and billing form should be submitted.

Status of benefits will be verified by Ambry Genetics for all insurance samples before processing. All tests not authorized by the patient’s insurance will be the responsibility of the patient.
 

Insurance Preverification Requests

We understand the medical insurance process can be challenging and we want to help you along with this process. The first step is to complete an Insurance Preverification Request Form and fax it to the Insurance Verification Department at (949) 900-5501 with a copy of the patient's insurance card, if available.

If you have any questions, please call us at (949) 900-5794 or email us at preverification@ambrygen.com.
 
Please allow up 72 business hours for a response. (Due to recent high volume we are experiencing delays.)

To obtain a preverification form (which is part of the test requisition form), please click here (the billing and preverification portions can be found on the last page of the requisition form).  Upon submission of the test requisition form, please ensure to check the “Perform Pre-Verification Of Benefits Prior To Testing” box.

Our team will then assign an Ambry Insurance Verification Representative to your case(s) who will contact the insurance company. The insurance company might require an authorization, which may require additional proof of medical necessity. Your Ambry Insurance Verification Representative will contact you to compile the required documents for submission to the insurance company. In most cases, Ambry Insurance Verification Department will be able to submit the authorization on your behalf.  In some cases, submission for authorization will need to come directly from the ordering physician or genetic counselor (dependent on insurance company policies) and we will provide as much information as we can to help you through the process. Our responsibility to you is to provide this information as quickly as we receive it from the insurance company.   
 
When considering turn-around-time, expected time frame for receiving results begins after testing has been approved by the insurance company and/or patient.
 

Contracted Health Plans

Ambry Genetics is contracted with a long list of insurance carriers and health plans, either directly or via network providers. Please call Ambry Genetics at (949) 900-5794 to verify coverage under specific insurance carriers or health plans.
 

Hardship Payment Plan

In the event that a patient can demonstrate a personal financial hardship, we can discuss arrangements for a payment plan. We do not charge interest or fees when a payment plan is instituted. Please Contact Us to speak with our Insurance Verification Department if such a situation exists for further information.