All Metametrix services must be ordered by a qualified healthcare provider.
Metametrix offers a choice of pricing plans; the payment method is determined by your ordering healthcare provider. This payment method will be reflected on the Test Requisition Form that is submitted with your specimen. Pricing information will only be provided to healthcare providers upon request. Prices are not posted on this website. Patients should direct all questions about the cost of testing to their ordering healthcare provider. Two payment options are outlined below.
Clinician Billing*
In this option, you pay your clinician directly for the testing services. Your clinician will then be billed by Metametrix and be responsible for payment. Please contact your physician directly to discuss this option.
Patient Prepay
The test must be paid in full with the submittal of specimen and Test Requisition Form. If insurance information is provided, a complimentary filing will be done by Metametrix.
Acceptable payments: Visa/MC/AMEX/Discover, money order, or check payable to Metametrix, Inc.
Note: We do not bill patients. We do not file insurance for 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.
PrePay Advantage: A Courtesy Insurance Filing Program
Metametrix offers a courtesy insurance filing program for all patient prepaid test submissions. Metametrix will submit insurance claims as a courtesy for patients that include full payment at the "Patient Prepay" price with specimen submission. As Metametrix is not in network with any insurance providers, this does not guarantee reimbursement from the insurance provider. If the courtesy filing is denied, the patient will receive a letter with the reason for rejection from Metametrix and an explanation of benefits from their insurance provider. They may then provide missing information or appeal rejection directly with their insurance provider, if needed.
For Metametrix to complete the complimentary filing we require the following:
- Full payment (patient prepay amount) submitted with the specimen and Test Requisition Form
- All required insurance information filled out on the Test Requisition Form in section eight, 'Responsible Party Insurance Information' and a copy of the insurance card
- ICD-9 codes provided in section six by the ordering clinician. A listing of codes can be found at www.metametrix.com/icd9
- A valid NPI number of the ordering clinician
Prepay insurance billing is a value-added service with benefits to clinicians and patients:
- Reducing pricing, billing, and collections confusion
- Applicable to any testing services provided by Metametrix
- Since patients are prepaying, they are not liable for any additional charges regardless of the amount covered by insurance
- Insurance reimbursements are typically faster when filed by the service provider and will be paid by the insurance company directly to the patient
For more information on this value-added service, please contact Client Services at 800.221.4640. For Guidelines on the best use of the program, download our PrePay Advantage Claim Submissions Guidline (PDF).
*Exception - New York State: Clinicians in New York State are unable to bill patients for laboratory services. All New York patients must use the prepay option. PrePay Advantage can also be used by New York patients.
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