BI INBOUND QUIZ-JULY 2021

Update the accession and notate the account with the change.

Advise them that they have to submit a new order.

Transfer to Technical CS to obtain demographic form.

Self-pay is the base/fixed price for all the patients for specific testing. Estimated OOP is based on each patient's current benefits with their insurance.

Patients have an option to cancel the testing if TRF was marked for self-pay billing but for insurance billing, they always have to move forward with the testing.

It is what it is.

Onshore Billing Team | Accession ID 12345

Requisition ID 12345 | Accession ID 12345 | BI Team

Requisition ID 12345 | BI Team or Order ID 12345 | BI Team

Xifin Accession ID 12345 | BI Team

As long as they are active on the DOS with their Medicaid insurance, they will not be billed for any amount.

Both PA and BI are required for us to determine the patient's responsibility.

We have to send an email to the onshore BI team to check if the patient will qualify for the $0 EOOP.

Verifying the account is not necessary as long as we obtain verbal permission.

Once we obtain verbal permission from the patient, we can verify the account from the caller.

Patient

Only if the patient mentioned that they can't afford the EOOP.

Only when the patient asks for it.

Only when the patient is still undecided.

1. When the patient mentioned that they cannot afford the EOOP. 2. When the patient asks for it. 3. When the patient is still undecided.

If there is already an accession and is still pending, we have to send an email to the onshore team for further assistance.

If there is already an accession and is still pending, we can no longer update the payor info. We have to cancel the accession and have the provider resubmit a new one. If the healthcare provider has not yet submitted the order or there is no sample yet, the patient will need to let the provider know about the change. Then the provider will need to update the draft Portal order or fill out the TRF to ensure the correct payment type is selected.

If there is already an accession and is still pending, we can update the payor info accordingly. If the healthcare provider has not yet submitted the order or there is no sample yet, the patient will need to let the provider know about the change. Then the provider will need to update the draft Portal order or fill out the TRF to ensure the correct payment type is selected.

No action is required.

False. We can always change the payor info whenever the patient wants to.

This is correct however if the patient is adamant to have it switched, we can send an email to the onshore team to ask if it is still possible.

1. If the provider is waiting for the results of a pending BI to be returned and did not yet complete the test order, they may log into the Portal, update the patient’s insurance in the DRAFT test order, then click the Conduct BI button again; alternately, they can create a new test order and click the Conduct BI button. 2. If the order has already been submitted but the sample has not been sent in, the provider needs to cancel the order and submit a new one, following the same process. 3. If the sample has already been shipped, the provider needs to call GeneDx Billing at 1-888-729- 1206, option 2 to update the patient’s health insurance information. This information can only be updated once the sample has arrived at GeneDx. The patient will need to reach out to their health insurance company directly, to ask about their estimated OOP amount. Patients shall be financially responsible for the OOP amount solely determined by their health insurance company based on the patient’s medical benefit plan.

1. If the provider is waiting for the results of a pending BI to be returned and did not yet complete the test order, they may log out from the Portal, update the patient’s insurance in the DRAFT test order, then click the Conduct BI button again; they cannot create a new test order and click the Conduct BI button. 2. If the order has already been submitted but the sample has not been sent in, the provider needs to cancel the order and submit a new one, following the same process. 3. If the sample has already been shipped, the provider needs to call GeneDx Billing at 1-888-729- 1206, option 2 to update the patient’s health insurance information. This information can only be updated once the sample has arrived at GeneDx. The patient will need to reach out to their health insurance company directly, to ask about their estimated OOP amount. Patients shall be financially responsible for the OOP amount solely determined by their health insurance company based on the patient’s medical benefit plan.

1. If the provider is waiting for the results of a pending BI to be returned and did not yet complete the test order, they may log out from the Portal, update the patient’s insurance in the DRAFT test order, then click the Conduct BI button again; alternately, they can create a new test order and click the Conduct BI button. 2. If the order has already been submitted but the sample has not been sent in, the provider needs to cancel the order and submit a new one, following the same process. 3. If the sample has already been shipped, the provider needs to call GeneDx Billing at 1-888-729- 1206, option 2 to update the patient’s health insurance information. This information can only be updated once the sample has arrived at GeneDx. The patient will need to reach out to their health insurance company directly, to ask about their estimated OOP amount. Patients shall be financially responsible for the OOP amount solely determined by their health insurance company based on the patient’s medical benefit plan.

Once a sample is sent in and all necessary paperwork is received, the testing process will begin. The order may be canceled before the sample is tested; however, if the test is not canceled, the patient will be responsible for the cost of testing. We encourage patients who have questions about their estimated OOP to reach out to their insurance directly to ask about their medical benefits coverage.

Once a sample is sent in and all necessary paperwork is received, the testing process will still not begin. The order may be canceled before the sample is tested; however, if the test is not canceled, the patient will not be responsible for the cost of testing. We encourage patients who have questions about their estimated OOP to reach out to their insurance directly to ask about their medical benefits coverage.

Once a sample is sent in and all necessary paperwork is received, the testing process will still not begin. The order may be canceled before the sample is tested; however, if the test is not canceled, the patient will not be responsible for the cost of testing. We encourage patients who have questions about their estimated OOP to reach out to their ordering provider directly to ask about their medical benefits coverage.