Patient Billing

Excellent Coverage, Personalized Support

At Ambry, we believe that each person should be treated as an individual when it comes to genetic testing. This remains true as it pertains to the cost associated with testing. Our goal is to provide you with our high quality genetic testing without cost being a barrier or burden.

Ambry’s Patient Assistance Program philosophy aims to make genetic testing affordable for all patients by addressing the amount each patient will be required to pay as determined by the testing ordered and their insurance coverage. Patients can elect to be considered by providing the requested financial information at the bottom of the Test Requisition Form (TRF). Our team of trained billing specialists will do the rest. 

Estimate your payment

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Certain tests are excluded from the Patient Assistance Program (e.g. exomes, SNP arrays and TumorNext Products). The calculator cannot be used to estimate your costs for these tests.

For patients with a personal history of cancer, or other hereditary illness, genetic testing is typically identified as covered.

For patients unsure of genetic testing benefits, Ambry will assist in verifying coverage and benefits for your insurance.

If you have any questions about any of our services please contact us at: 949-900-5795.

The information on this site is only an estimate. Your actual costs depend on whether or not you have insurance, the type of insurance, and whether you meet the insurance coverage criteria for genetic testing or not. Patients with health insurance through a Government Program (e.g. Medicare Advantage, Medicaid, Tricare, Veterans Affairs) are excluded from the Patient Assistance Program. Ambry reserves the right to modify or cancel its Patient Assistance Program at any time.

Insurance:

Many insurance plans cover genetic testing and Ambry is contracted with the majority of U.S. health plans.  Your Out Of Pocket cost may vary based on your individual plan.  We offer personalized verification of insurance coverage and will consider your personal financial situation upon request. 

Patient Portal

Ambry now offers an easy way to pay your bills online through our Patient Payment Portal.

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Self-Pay:

We offer competitive cash pricing when insurance is not an option.

A team of dedicated specialists is available to answer any questions you may have.  Call or email our Patient Financial Service team at +1-949-900-5795 or billing@ambrygen.com with any questions.

At Ambry, we understand that there is no ‘one-size-fits-all’ in healthcare; that’s why we will consider your personal financial situation to help make our high-quality genetic testing affordable to you.

Explanation of Benefits

Frequently Asked Questions:

Coverage will depend upon various factors, such as your health plan’s testing criteria and benefit design, and the medical necessity of the test being ordered.  Ambry has a dedicated team that will discuss these issues with you.
Each individual’s costs may be different depending upon a variety of factors.  We are committed to helping you receive the testing you need, by considering all relevant factors that may qualify you for financial assistance.
If you are responsible for any costs, the billing process may take up to 90 days, but in rare instances may take longer.
For the most up-to-date information regarding our billing policy, all questions should be directed to our Billing Department at +1949.900.5795.
  • Our cost estimator can take into account your financial information and estimate your potential cost. Please call our Patient Financial Service team at 949.900.5795 for any questions regarding the cost estimator.
We can pre-verify your insurance benefits and may offer the Self-Pay option before the test is run.
We offer test cancellations within 7 days of the sample receipt date. However, if you are eligible for financial assistance, we are confident that cost will not be a barrier.
If you ever have any problems with your patient statement, please contact our Billing Department and we will discuss your situation to ensure information accuracy and update as needed.
  • If you are submitting to your insurance, we offer personalized verification of insurance coverage and will always consider your personal situation for final costs. Typically your OOP is the deductible, co-pay or co-insurance amounts as indicated by your health plan. Many insurance plans cover genetic testing.
  • Ambry will provide you with an estimate of the patient responsibility based on the test ordered, estimated reimbursement and the specific insurer’s contracted rates, in addition to your personal insurance and financial situation.  
  • Your final OOP may be adjusted if, when filling out the TRF with your doctor or genetic counselor, you elected to be considered for our Patient Assistance Program and meet Patient Assistance Program’s eligibility requirements.  Your OOP may also be adjusted by your insurance company during the evaluation and processing of your claim. 

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