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Please locate your purchased Service Level below.  Complete the interactive forms to submit online.

 

Service Level 1/ Initial Assessment -  What you need:  

1.   A copy of the front and back of your medical insurance card (fax to 888-204-5975 or email to billing@geneticcounselingservices.com)

2.   Complete the following interractive forms which are available here:



Service Level 2/ Medical Record Retrieval -  What you need: 

1.   A copy of the front and back of your medical insurance card (fax to 888-204-5975 or email to billing@geneticcounselingservices.com))

2.   Complete the following interactive form from the link you will receive:

  

Service Level 3/ Personalized Risk Assessment -  What you need:

1.   A copy of the front and back of your medical insurance card (fax to 888-204-5975 or email to billing@geneticcounselingservices.com)

2.   Complete the following interactive forms from the link you will receive:

 

Service Level 4/ Insurance Authorization - What you need:

1.   A copy of the front and back of your medical insurance card (fax to 888-204-5975 or email to billing@geneticcounselingservices.com)

2.   Complete the following interactive forms from the link you will receive:

 

Service Level 5/ Genetic Testing Coordination - What you need:

1.   A copy of the front and back of your medical insurance card (fax to 888-204-5975 or email to billing@geneticcounselingservices.com)

 2.   Complete the following interactive form from the link you will receive:

  

Service Level 6/ Customized Research - What you need:

Institutions (Insurance Companies and Hospital Systems)

     Complete the following interactive forms which are available here:

 

Individuals

1.   A copy of the front and back of your medical insurance card (fax to 888-204-5975 or email to billing@geneticcounselingservices.com)

2.   Complete the following interactive forms:

  

 



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