Will my patient be notified before the test is run?
If the Insurance Billing option is selected on the Test Request Form, Myriad will verify coverage and determine the patient’s financial responsibility. If the patient's total financial responsibility will exceed $375 (or $15 per month when utilizing our interest-free 25-month payment plan) for any reason, including co-insurance, deductible, or non-covered services, we will contact the patient directly to discuss the specifics of the case and options available to the patient before proceeding with the testing process. If their total financial responsibility will NOT exceed $375, your patient will NOT be contacted, and sample processing will begin immediately.
Note: Some insurers may require a pre-authorization before the sample is initiated, which may delay the start of the test. We will notify your office if this is the case.
In order to proceed with the Insurance Billing option, the Patient/Responsible Party signature on the Test Request Form and enlarged photocopies of the front and back of the patient's health insurance card(s) are required. Myriad will submit bills directly to the patient's insurance carrier and will also appeal and resubmit claims on the patient’s behalf, with input from you as the authorized healthcare provider as needed. My patient received an Explanation of Benefits (EOB) from the insurance company stating that the claim was denied. What should I instruct the patient to do?
The EOB is not a bill, but it may show pending payments or even a claim denial by the insurance company. When the insurance company processes a claim, the policy holder is sent an EOB notice. Sometimes the insurance company denies a claim because they want more information such as medical records, which may be information only the healthcare provider's office can provide. Once additional requested information is obtained, Myriad will send it directly to the insurance company, and the patient often does not need to take any action. If there are any questions about the procedures or the charges on the EOB, the patient should contact Myriad’s Billing Department and not your office.
My patient received a letter from Myriad stating that he or she needs to sign a form so that Myriad can appeal on their behalf. Why should my patient sign this form?
Occasionally an insurance company will process a claim incorrectly. When this happens, Myriad may file an appeal on behalf of the patient. Blue Cross Blue Shield affiliates, for example, require the patient to sign a form authorizing Myriad to appeal on their behalf. The patient will be asked to sign this form and return it to Myriad in a timely manner. For any questions on this process, please call our toll-free billing number at 800-725-2722, or send an email to firstname.lastname@example.org.
Does Myriad offer a payment plan?
Yes, Myriad offers a 24-month interest-free payment plan that can be set up by calling the Myriad Billing Department at the 800 number listed on the first Myriad billing statement. A due date and payment amount must be agreed upon to set up a payment plan. If the agreed-upon payment amount is not received by the due date, the payment plan may be cancelled and the patient may receive a past due statement. If this happens, please have your patient contact the Myriad Billing Department immediately to re-instate the payment plan and avoid further collection attempts.