Is Metametrix testing covered by insurance?
As a courtesy, Metametrix will file medical claims for patients with private insurance only. We are not a participating provider with any insurance company and therefore all testing is considered out-of-network by all insurance companies. The patient is responsible for paying any portion of the test not covered by insurance. To qualify for insurance billing, patients must submit 20% of the list price as payment and include this payment with the specimen. All Medicare patients must prepay for their testing before Medicare can be filed. They are also required to sign the Test Requisition Form indicating they are a Medicare patient. Note: We do not file insurance claims for Cigna, Medicaid, Worker’s Compensation, or when Special Combination profiles are ordered. Exception – New York State: Metametrix does not bill patients or file any medical claims with private insurance, Medicaid, or Worker’s Compensation. We do not file insurance claims (except for Medicare) for New York patients since
