Billing FAQs

• IGeneX does not accept assignment from or submit claims to insurance companies except for patients who have Medicare – Medical (Part B) coverage.
• Medicare Part B payments may be made directly to patients; patients will be responsible for reimbursing IGeneX for any payments they receive and for any services that are not covered by Medicare.
• IGeneX will send you an itemized statement of charges. The statement lists the services you received, along with the amount charged, and the CPT (procedure) codes.

Each health insurance policy is different. To ensure that you will be reimbursed for services rendered at IGeneX, we recommend you contact your health insurance carrier for benefit-specific information in advance.

Please refer to the IGeneX price list for test descriptions and CPT (procedure) codes click here.

IGeneX has started to take test kit deposits in order to streamline the ordering and processing of both your test kits as well as your samples. This deposit will be deducted from the total cost of test(s). In order to receive credit for the deposit against the cost of testing, please use the original test requisition form received with the kit. (Copies will not be accepted)

Test Kit Deposit Refund Policy
The $20 test kit deposit is non-refundable under the following conditions:

1. Unused Test Kit
2. Expired Test Kit
3. Test(s) Cancellation

Additional insurance billing information is needed. Please fax a copy of front and back of your Primary Healthcare Insurance card to (650) 424-1196 or mail to the address below:

IGeneX, Inc.
Attn: Billing Department
556 Gibraltar Drive
Milpitas, CA 95035

You may receive an IGeneX patient statement for a variety of reasons, for example:

• The service you received may not be covered by your Medicare or Medicare (Senior) Advantage Plan for the following reasons:
  1. This is a non-covered service because it is a routine/preventive exam or a diagnosis/screening procedure done in conjunction with a routine preventive exam
  2. Procedure is not deemed medical necessity
  3. Payment is denied when performed/billed by this type of provider
  4. The referring provider is not eligible to refer the service billed
  5. Expenses incurred prior to coverage
• You may have a copayment, coinsurance or deductible for your services rendered at IGeneX

Please make payment to IGeneX using one of the following methods:

• Contact IGeneX Billing Department at (800) 832-3200, Option 4.
• Mail your payment to the address shown on your statement. Please remember to attach the stub from your invoice when mailing in your payment. If pay by check, please make check payable to IGeneX, Inc.

IGeneX will accept patients with Medicare Part B (Medical) Coverage. To ensure coverage on your services rendered at IGeneX, your ordering/referring physician must also be eligible to refer Medicare patients. Your ordering/referring physician must meet the following three requirements:

• Have an individual National Provider Identifier (NPI)
• Be enrolled in PECOS with either an “approved” or an “opt-out” status.
• Be of a specialty type that is eligible to order/refer

IGeneX, also accepts most Medicare Preferred Provider Organization (PPO) Plans offered by a private company that contracts with Medicare. Some Medicare Health Maintenance Organizations (HMO) Plans may allow you to receive some out-of-network services.

To ensure benefit coverage, please contact your Medicare insurance company for benefit-specific information.

Please refer to IGeneX Payment and Billing policies for details click here .

IGeneX is a nonparticipating provider and does not agree to accept the Tricare-allowable charge or file claims on behalf of the beneficiary. IGeneX may charge up to 15% above the Tricare allowable charge.

Once you are billed by IGeneX we automatically mail an itemized receipt with description of each test procedure to the address you provided on the test requisition form.  You can submit this form to your health insurance carrier for possible reimbursement based upon your plan coverage.

It is the ordering doctor’s responsibility to provide diagnosis/ICD-10 codes to IGeneX.  If they are missing from your Patient Statement please contact the ordering doctor’s office.  Ask the doctor to fax us something with: your full name, date of birth, date of service, diagnosis codes to be added, and the doctor’s signature.  They can then fax to 650-543-2631, we will add them to your Patient Statement, and mail you a new one.

IGeneX accepts the following payment methods:

Domestic Patient

• Credit Cards: Visa, MasterCard, Discover, and American Express
• Personal Checks/ Money Orders: Please make check payable to IGeneX, Inc.

International Patient

• Credit Cards ONLY: Visa, MasterCard, Discover, and American Express

*Note: IGeneX, Inc. does not accept Healthcare Financing Credit Cards