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Genetic Testing Solution

Part of our suite of Payment Integrity solutions.

Use data and technology to save money and make Medicaid members happy.

Expensive genetic testing is skyrocketing 30% year-over-year. There are only a few hundred CPT codes for over 75,000 tests, so coding is often confusing and haphazard.

Our Genetic Testing solution analyzes your claims using AI and algorithms created by geneticists. No medical records are required. We’ll ensure the right codes are used and save or recover money spent on inappropriate tests. We see a low appeal rate of 2-5%, with just 1% overturned.

Get your genetic testing spend under control. We’d love to help.