Healthcare Provider Billing

Excellent Coverage, Personalized Support

At Ambry, we believe every patient should consistently have access to high-quality testing and the confidence to know cost will not be a barrier, regardless of their personal situation.

There is no "one-size-fits-all" in healthcare; therefore, we will consider each patient's individual cost concerns, so you don't have to.

Insurance billing

Our Preverification department can verify insurance coverage for ExomeNext® and Microarray tests and provide you with details about each patient's individual coverage for genetic testing. To take advantage of this service and get an estimate of your patient's Out-of-Pocket (OOP) cost, please submit the form below.

Please click here to complete the preverification form and the appropriate Ambry representative will contact you shortly.

We are contracted with the majority of U.S. health insurance plans, including many of the plans provided by*:

• Aetna
• BlueCross BlueShield
• Cigna
• Humana
• Kaiser Permanente
• Medicare
  • We are a certified Medicare provider. The patient must meet Medicare's specific testing criteria for genetic tests. If the patient does not meet the criteria, a completed Advance Beneficiary Notice (ABN) is required.
  • Our Preverification department can verify insurance coverage for ExomeNext® and Microarray tests and provide you with details about each patient's individual coverage for genetic testing.
  • Medicare does not currently cover any genetic tests meant to screen patients who have never had an associated cancer diagnosis.
  • We are not able to bill Medicare if the patient is unaffected and genetic testing is being ordered based only on family history.
• UnitedHealthCare

*Coverage may vary by individual plan.

Self-Pay

For all customers without insurance, we offer competitive self-pay pricing. Ambry's Patient Assistance Program philosophy means we consider each patient's personal situation as soon as the sample is received and take steps to make sure all patients are aware of the associated cost of testing.

With either insurance or self-pay, if your patient believes that Ambry has not considered all relevant factors in determining his or her out-of-pocket cost, he or she may complete and submit an OOP dispute form, found here.

Have your patients call or email our Billing Support team at +1 949-900-5795 or billing@ambrygen.com with any questions.

Checks & Money Orders

Please make checks and money orders payable to Ambry Genetics. There is a $25.00 processing fee for returned check payments.

Credit Card Payments

Approved credit card (AMEX, Discover, MasterCard, or Visa) payments are accepted.

Wire Transfers

Payments can be made via wire transfer from your bank. Please contact us for more information.

Cancellation requests are honored only if the test order is canceled by contacting an Ambry Client Services Representative (toll-free +1 (866) 262-7943) before the sample is received/accessioned.

Test Cancellation Policy

Once the sample enters into the reporting process, the client or insurance carrier will be billed the full amount of the test requested and normal patient reporting will occur.

Special Note: If a panel was ordered that contained reflexive steps and only part of the tests were batched, only those tests that have entered the reporting process will be billed in full. The remaining tests will be canceled and not billed.

Insurance Lists by Region

Ambry Genetics is contracted with numerous health plans and institutions. Although specific plans and geographic coverage may vary, Ambry is committed to making the genetic testing process as simple and cost-effective as possible. If you have a question on a specific plan, please contact the insurance company directly.

Ambry Genetics is contracted with numerous health plans and institutions. Select the links below to access lists of our contracted health plans by region:

• Midwest
• North Central
• Northeast
• Northwest
• South Central
• Southeast
• Southwest

International Billing

Ambry Genetics works with international clients to make paying for your genetic solutions simple. For your convenience, we have outlined the policies and procedures for international billing below.

Please Contact Us if you need assistance.

Institutional Billing

Ambry is open to working with any institution to set up a direct billing account. Since 1999, Ambry has offered healthcare providers cost-effective, clinically-relevant testing solutions for the patients they serve. For more information about setting up an institutional account, click here.

International Institutional Billing

International samples must be prepaid unless the institution has already established an account prior to sample submission. An e-mail address is required to establish an international institutional account. The account ID will be communicated by e-mail once the payment information is verified and all required information is received.

If no account has been established, please submit a check, money order, credit card number, or wire transfer payment with samples.