Test Catalog

Prior Authorization

On behalf of our clients, Mayo Medical Laboratories will seek insurance authorization for eligible tests and file an insurance claim upon final result.

Prior authorization services are available for a select number of tests, listed in the following table. On completion of prior authorization services, Mayo Medical Laboratories will bill the insurance carrier and accept the amount of coverage assigned.

In some cases, your patient may be responsible for paying charges for services deemed not medically necessary by the insurance carrier.

Specimen Handling

When prior authorization services are requested, Mayo Medical Laboratories will extract and store the DNA from the specimen on arrival and verify patient insurance coverage prior to sample analysis.

The following billing guidelines apply:

  • If the expected patient out-of-pocket expense is $200 or less after prior authorization services, Mayo Medical Laboratories will proceed with the testing and file an insurance claim upon final result.
  • If the expected patient out-of-pocket expense is greater than $200, Mayo Medical Laboratories will seek approval from the contact listed on the Prior Authorization documents before proceeding with testing.

Ordering Instructions

Eligible tests are listed in the following table.

Updated January 9, 2017

Click on the column headings to sort the columns.

Test ID
Test Description
ARVGP Arrhythmogenic Cardiomyopathy Multi-Gene Panel, Blood
BRGGP Brugada Syndrome Multi-Gene Panel, Blood
BRCAZ BRCA1/BRCA2 Genes, Full Gene Analysis
BRST4 Hereditary Breast Cancer 4 Gene Panel
BRST6 Hereditary Breast Cancer 6 Gene Panel
BRCRC Hereditary Breast and Colorectal Cancer
CCMGP Comprehensive Cardiomyopathy Multi-Gene Panel, Blood
DCMGP Dilated Cardiomyopathy Multi-Gene Panel, Blood
FBN1B FBN1, Full Gene Sequence
HCMGP Hypertrophic Cardiomyopathy Multi-Gene Panel, Blood
HCRC Hereditary Colon Cancer Multi-Gene Panel
HMNP Hereditary Motor Neuropathy Panel by Next-Generation Sequencing (NGS)
HMSNP Hereditary Motor and Sensory Neuropathy Panel by Next-Generation Sequencing (NGS)
HSNP Hereditary Sensory/Autonomic Neuropathy Panel by Next-Generation Sequencing (NGS)
HSPP Hereditary Spastic Paraplegia Neuropathy Panel by Next-Generation Sequencing (NGS)
LQTGP Long QT Syndrome Multi-Gene Panel, Blood
LYNCH Lynch Syndrome Panel
MFRGP Marfan Syndrome and Related Disorders Multi-Gene Panel, Blood
MLH1Z MLH1 Gene, Full Gene Analysis
MSH2Z MSH2 Gene, Full Gene Analysis
MSH6Z MSH6 Gene, Full Gene Analysis
MSNP Metabolic/Syndromic Neuropathy Panel by Next-Generation Sequencing (NGS)
NIPS Cell-Free DNA Prenatal Screen
NSRGP Noonan Syndrome and Related Disorders Multi-Gene Panel, Blood
PMS2Z PMS2 Gene, Full Gene Analysis
PNPAN Peripheral Neuropathy Expanded Panel by Next-Generation Sequencing (NGS)

To order one of these tests using the prior authorization and third-party billing services, follow these steps:

  1. Determine the appropriate test to order, and click the corresponding Test ID in the table.
  2. In the Special Instructions and Forms section of the test, complete the Prior Authorization Ordering Instructions.
  3. Send the prior authorization documents with your specimens and test requisition or electronic order to Mayo Medical Laboratories via overnight courier. Specimens received without the prior authorization documents will be processed immediately and billed to your facility.

For assistance or questions, contact the Billing office.