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      • Michael R. Loken, PHD
      • Denise A. Wells, MD
      • Wayne Fritschle
      • Dongbin Xu, PHD, FACMG
      • Chad Hudson, MD
      • Kirk Bennington
      • Ben Stueben, MD
      • Ashley Eckel, MD/PHD
      • Andrew Menssen, Ph.D., HCLD(ABB)
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    • Measurable Residual Disease Testing
    • ∆N:™ (Difference from Normal) Flow Cytometry
    • Next Generation Sequencing
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    • Molecular Analysis
    • Fluorescence in Situ Hybridization (FISH)
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    • October 2022, Vol 7
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    • August 2020 Vol 1
  • Contact Us
  • 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
      • Ashley Eckel, MD/PHD
      • Andrew Menssen, Ph.D., HCLD(ABB)
    • 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 Johnson2024-06-03T11:08:54-07:00
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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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