Advanced Beneficiary Notice of Noncoverage (ABN)
Important Information for Patients
Medicare requires that patients be provided an Advanced Beneficiary Notice (ABN) form for certain tests. ABNs are offered for the tests below and should be reviewed carefully by the patient.
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To be completed properly, the ABN must:
- Have the patient/beneficiary's name indicated at the top of the form
- Must have an option selected with a check or "x"
- Must be signed and dated by the patient
- Be sent with the test requisition and test sample/specimen