The answer depends on the type of testing ordered.
Diagnostic panel testing
Invitae accepts Medicare (including managed Medicare) for all diagnostic 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. Most patients billing Medicare for a panel test will receive no bill.
Carrier screening
We accept Medicare (including managed Medicare) for all carrier screening.
To bill Medicare for a carrier screen, please submit an order either using Invitae’s online portal or a paper order form and select the Medicare billing option. We request that the following be included to support any appeals that may be necessary:
- A signed informed consent form (available here; please ensure the informed consent form is dated on or before the date of blood draw)
- Any applicable medical records
Note that although patients may receive an explanation of benefits from Medicare, this is not a bill. Most patients billing Medicare for a carrier test will receive no bill.
Exome testing & pediatric, prenatal, and pregnancy loss testing using microarray, FISH, or karyotype
Invitae does not accept Medicare (or managed Medicare) for exome or pediatric, prenatal, and pregnancy loss testing using microarray, FISH, or karyotype.
Preimplantation genetic testing
Invitae does not accept Medicare or managed Medicare as a third-party billing option for preimplantation genetic testing.
Please direct any questions to Client Services at 1-800-436-3037.