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      • Michael R. Loken, PHD
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  • Home
  • About Us
    • Our Team
      • Michael R. Loken, PHD
      • Denise A. Wells, MD
      • Wayne Fritschle
      • Dongbin Xu, PHD, FACMG
      • Chad Hudson, MD
      • Kirk Bennington
      • Ben Stueben, MD
      • Andrew Menssen, Ph.D., HCLD(ABB)
      • Sarah Blain, MD, FRCPC
    • Dr Loken Publications/Patents
    • References
    • Mission and Core Values
  • Services
    • Measurable Residual Disease Testing
    • ∆N:™ (Difference from Normal) Flow Cytometry
    • Next Generation Sequencing
    • Cytogenetics
    • Molecular Analysis
    • Fluorescence in Situ Hybridization (FISH)
  • Specimen Requirements
  • REQ/Report/License
  • Shipping Instructions
  • Order Supplies
  • Billing & Payments
  • Careers
  • Case Studies
    • October 2022, Vol 7
    • June 2022 Vol 6
    • January 2022 Vol 5
    • September 2021 Vol 4
    • June 2021 Vol 3
    • January 2021 Vol 2
    • August 2020 Vol 1
  • Contact Us

Billing & Payments

Billing & PaymentsEric Johnson2026-02-17T12:14:48-08:00
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“Our credit card vendor is experiencing an outage and we are unable to process credit cards payments at this time. We apologize for this inconvenience.”

Below are forms available for download

*Please contact us if you have any questions

  • Billing Policy

  • Coverage Limitations and Prior Authorization Requirements

  • BCR/ABL Coverage Guidance

  • Medical Necessity for Flow Cytometry (LCD CODES)

  • Medical Necessity for Next Generation Sequencing (LCD CODES)
  • Medical Necessity for Cytogenetics (LCD CODES)

  • Aetna Diagnostic Molecular Coverage

  • Aetna Next Generation Sequencing Diagnostic Coverage

  • Aetna BCR/ABL and JAK Testing Diagnostic Coverage

  • Financial Aid Application

  • Medicare ABN

  • Non-Medicare ABN

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