Metametrix Clinical Laboratory
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  payment and billing  

Patient Test Payment Options

All Metametrix services must be ordered by a qualified healthcare provider.
Metametrix offers a choice of pricing plans, determined by the payment method chosen by you and your ordering healthcare provider. This will be reflected on the Test Requisition Form that is submitted with your specimen. Pricing information will only be provided to healthcare professionals upon request. Prices are not posted on this website. Patients should direct all questions about the cost of testing to their ordering healthcare provider. Three payment options are outlined below.

Patient Pre-Pay

Pre-payment of testing offers a discounted rate. The test must be paid in full with the submittal of specimen and test requisition form. With this payment selection, an itemized receipt for services will be sent directly to you. This receipt may then be submitted to your insurance company for reimbursement. The Patient Pre-pay option is highly recommended if you are not paying your healthcare provider directly for the testing.

Acceptable payments: Patient's or health professional's Visa/MC/AMEX/Discover, money order, or check payable to Metametrix

Insurance Billing*

Metametrix will file medical claims for patients with private insurance only. We are not a participating provider with any insurance company. Patients should contact their insurance company for coverage information, prior to requesting Metametrix to bill insurance. To qualify for insurance billing, patients must submit 20% of the list price as payment and include this payment with the specimen. If full coverage is provided by your insurance company, the 20% deposit will be refunded. All Medicare patients must prepay for their testing before Medicare can be filed. They also are required to sign the Test Requisition Form indicating they are a Medicare patient.  

The patient is responsible for payment of any portion of the test not covered by insurance at list price.

Note: We do not file insurance for Cigna, Worker’s Compensation, Medicaid or when Special Combination profiles are ordered. The test must be paid in full with submittal of specimen and test requisition form. Medicare will most likely deny benefits.  All Medicare patients must pay in full with submittal of specimen and test requisition form.

*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 NY State is required to reimburse the patient directly.

Clinician Billing**

Clinician billing is up to your clinician. In this option, you pay your clinician directly for the testing servicies. Your clinician will then be billed by Metametrix and be responsible for payment. Please contact your physician directly to discuss this option.

**Exception - New York State: Clinicians in New York State are unable to bill patients for laboratory services. All New York patients must use the pre-pay option.

 

 

 

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