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» LymeNet Flash » Questions and Discussion » Medical Questions » reimbursement for igenex lab testing

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Author Topic: reimbursement for igenex lab testing
katrinab
LymeNet Contributor
Member # 30330

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hi, forgot to ask, if i pay out of pocket for testing to be done through igenex labs, is it most likely that i can get reimbursed for the testing? also if i wait for a prior authorization to go through for my insurance to cover the test, and go that route, will it take a long time usually to get the prior auth for specialty lab testing? thanks
Posts: 723 | From boston,ma | Registered: Jan 2011  |  IP: Logged | Report this post to a Moderator
JunkYardWily
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Member # 24271

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i tried this when i spent a bunch of $ on testing through igenex in september. i submitted over 2k in claims to my insurance blue crap blue sh it and they "reimbursed" me a whopping $120.

i have both atnea and bcbs. night and day how much better atnea is. like my dr says, blue is a four letter word.

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sick since 9-09
igg, 18,23,41 reactive
igm, 41 reactive

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Lymetoo
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It depends. I managed to get my ins to reimburse me (I think it was 80%) .. It took me 9 months of hounding them.

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--Lymetutu--
Opinions, not medical advice!

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Fuel1212
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I have the B word and they paid 80% no questions asked?

Thanks

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IgM- 31,34,39,83-93 IND
IgM- 41+

IgG- 31,34,39,83-93 IND
IgG- 41++

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Lymetoo
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Really depends upon your plan. Not all plans are the same even within the same company.

--------------------
--Lymetutu--
Opinions, not medical advice!

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purplemom
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Last year when I had Harvard Pilgrim I received 100% reimbursement from Igenex testing.

My LLMD was an HP provider but the lab (Igenex) was out of network.

When I called to ask (HP) about the reimbursement they told me it was NOT covered because it was out of network. I said I'd like to submit it anyway and sent my receipt to the claim address on the back of the card. In less than 1 month I was reimbursed on 2 occasions.

Posts: 207 | From NH | Registered: Jul 2009  |  IP: Logged | Report this post to a Moderator
   

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