Genova Billing Options

Discover which billing option works best for you.

Insurance Billing | Cash Pay | Practitioner Pay | Medicare, Medicaid, and Tricare

Insurance Billing

Insurance Billing

Genova will file claims to your commercial insurance plans (including Medicare Advantage).

Please review and respond to ALL communications from GenovaFollow these steps to qualify for the lowest out-of-pocket cost:

  1. Submit the required Initial Insurance Payment with your specimen.
  2. After your claim is processed you will receive a statement if there is a Patient Responsibility.
  3. Act promptly and pay by the date indicated on your statement. Applicable discounts will expire.

How It Works

In some instances, commercial insurance plans may send the payment for services directly to the patient. If so, it is the patient's responsibility to forward that payment directly to Genova Diagnostics.

Have questions? Check out our Billing Resources section or contact our billing department.


Cash Pay

Cash Pay


This option is for patients who do not have insurance or choose not to submit a claim to their insurance*.

Cash Pay Options:

Don't forget to submit your payment with your specimen
  1. Submit the full Cash Pay amount with your specimen

    Full Cash Pay
  1. Payment Plan (for tests $100 or higher)
    • 25% of cash price including add-ons due with specimen
    • Remaining amount charged to the credit card provided in 3 equal installments

  2. Cash Payment Plan

* We will provide you an insurance-ready receipt with these options.


Practitioner Pay

Practitioner Pay

Your myGDX Account has useful billing updates and payment options

This option is for practitioners who want to pay for the service directly.

When this option is selected, the test will be billed to the practitioner's office account at the closing of each billing cycle (Net 30).

Practitioners also have the option to place a credit card on file allowing their account balance to be charged automatically at the end of each month. A detailed billing statement will be provided with this option. Please contact the business office to provide credit card information for automatic payment enrollment.

Please note, this option is not available to practitioners located in New Jersey, New York, or Rhode Island due to state imposed limitations.


Medicare, Medicaid, and Tricare

Medicare, Medicaid, and Tricare

Genova Diagnostics will file claims to Medicare, Medicaid of North Carolina, and Tricare plans. For detailed billing information please view our Government Insurance Guidelines.

Medicare, Medicaid, and Tricare patients who have a test collection supply pack may visit the Patient Resource Center to create an account and use our Pay Assist tool to obtain more billing details related to their test..


Billing Resources

Patient Responsibility

The amount the patient's cost-sharing obligation for testing as defined by their insurance policy and indicated on the Explanation of Benefits (EOB). This may include coinsurance, co-pay, deductibles, and non-covered services.

Billing Summary Statement

The statement Genova provides indicating the patient responsibility, any patient payments, discounts, and remaining payments necessary to satisfy a patients account.

Initial Insurance Payment

The amount that must be paid with the specimen for patients who choose to use insurance billing.

Cash Price

The amount the test costs for patients who do not use insurance. If the test is over $100, we do provide a payment plan option as well.

Overview

Patient Resource Center

This is your health, manage it your way. Opening an account allows you to access and manage important features:

  • Pay Assist Billing Tool (Pricing & Payment Amounts)
  • Online Payments (Prepayments & Invoice Payments)
  • Billing & Insurance Guidelines
  • 24/7 Access to Test Results
  • Health Surveys
Sign up today for the Patient Resource Center

Business Office Contact

Our business office is available to assist you. Visit our contact form and submit your questions and documents to our billing department. You may submit your Explanation of Benefits (EOB), updated insurance card, and up to 5 total attachments.

Contact Business Office

Coming Soon!

Make a Payment

Contact Us

We Are Here to Help

We know healthcare billing can be challenging, and Genova's Billing Team is here to assist you. We can help answer your questions, further explain all communications you've received and work with you on an individual basis to resolve any issues that arise.

Visit www.gdx.net/contact/billing