The answer depends on whether the order is for a panel (or single gene) test or for an exome.
Panel testing
Invitae accepts Medicare (including managed Medicare) for all panel (and single gene) orders.
To bill Medicare for panel (and single gene) testing, please submit an order either using Invitae’s online portal or a paper order form and select the Medicare billing option. Because Invitae’s criteria are broader than Medicare criteria, we request that the following be included to support any appeals that may be necessary:
- A letter of medical necessity (available here)
- A signed informed consent form, (available here; please ensure the informed consent form is dated on or before the date of blood draw)
- A detailed family history or pedigree
- Any applicable medical records
Note that although patients may receive an explanation of benefits from Medicare, this is not a bill.
Exome testing
Invitae does not accept Medicare (or managed Medicare) for exome testing.
Please direct any questions to Client Services at 1-800-436-3037.