Billing Options

EGL Genetics understands the complexities and struggles associated with healthcare reimbursements, so we do our best to make our billing policies easy and clear for you and your patients. We offer multiple billing options and our billing department is constantly striving to make the payment process more efficient.

Insurance

EGL Genetics accepts most insurance plans. As a service to our clients, we also perform verification of insurance benefits. Please note that the information provided on a verification of benefits is not a guarantee of payment on any of the services EGL provides. Pre-/Prior-authorizations only verify that the requested service meets the benefits plan's definition of medical necessity and is not a guarantee of payment.

Please call EGL’s Customer Service to confirm network status for all insurance companies prior to submission of all tests.

Managed care list

Preauthorization is not typically required for contracted PPO and POS plans, however, not all individual plans cover genetics testing.

If preauthorization is not required (includes GA Medicaid), testing of a specimen will be initiated with the following:

  • A completed test requisition form with patient signature
  • Guarantor's date of birth
  • A legible photocopy (front and back) of the patient's insurance card

If preauthorization is required, testing of a specimen will be initiated with the following:

  • A completed test requisition form with patient signature
  • Guarantor's date of birth
  • A legible photocopy (front and back) of the patient's insurance card and at least one of the following:
  • Proof of preauthorization
  • Valid credit card information with signed patient authorization to bill for services not covered by insurance

For ALL insurance billing options, the indication(s) for testing and/or appropriate ICD-10 codes are required for billing and results interpretation.

Client/Institutional

Corporate accounts are available for physician/clinical offices, referral laboratories, and hospitals. Establishing a corporate account provides the following benefits:

  • Volume/test discounts
  • Streamlined billing
  • Partnership opportunities

To establish an institutional account, you must complete an Institutional Account Request Form prior to submitting an order. Please click here to download the form. For any questions please contact our Billing department at Viracor at 816-251-0395 or 1-888-875-7307 or by email at eglbilling@viracor-eurofins.com.

Please note: tests received from a corporate account cannot be revised to insurance payment at a later date.  

Corporate clients acknowledge that their institution will pay for all genetic testing ordered by their institution, as evidenced by a completed EGL requisition form. For institutional accounts, the payment term is net 30 days from the date of the invoice. For contested claims, corporate clients should respond in writing within 30 days from receipt of invoice.

Patient Payment (Self-pay)

Testing of a specimen will be initiated with the following:

  • A completed test requisition form with patient signature
  • One of the following:
    • A check or money order payable to "EGL Genetic Diagnostics LLC" for the agreed to price of the test. Checks are only accepted for patients in the United States. Please remit checks to:
      EGL Genetic Diagnostics LLC
      Dept # 2612  
      PO Box 11407
      Birmingham, AL 35246-2612
    • Valid credit card information with a signed patient authorization to bill for services rendered

Medicare

Testing of a specimen will be initiated with the following:

  • A completed test requisition form with patient signature
  • A legible photocopy (front and back) of the patient's Medicare card
  • A completed Advanced Beneficiary Notice of Noncoverage Form 

Medicaid

EGL accepts in-state (Georgia) Medicaid.

Please note that EGL does not accept out-of-state Medicaid. Samples submitted with a "Medicaid Pending" designation will be considered "Patient Pay" and arrangements must be made for payment before testing will be performed.

New and Updated Gene Panels

Industry-leading number of gene panels

EGL Next Generation Sequencing Panels include comprehensive, evidence-based gene lists, improved turnaround times, and reduced pricing.