Billing

General Billing

You are notified by email when invoices are available for your account. Each invoice includes the dates of service, patient's name, procedure codes, test descriptions, and test charges:

To request authorization to view invoices for your account, contact the Billing Office.

Telephone 800-447-6424
507-266-5490
Email mcsiacctsrec@mayo.edu
Hours Monday through Friday, 7 a.m. to 5 p.m. CT

Third-Party Billing

In some cases, Mayo Clinic Laboratories can bill the patient's insurance provider directly for tests. To determine if your account is eligible for this third-party billing, contact mcsiacctsrec@mayo.edu.

  • For information on the CMS Date of Service policy regarding molecular pathology testing, click here.

Payment Instructions

Payments are due within 30 days of the invoice date. Payment options include check or Automated Clearing House (ACH) bank transfer.

In some cases, Mayo Clinic Laboratories accepts credit card payments. For information, contact the Billing Office.

Check Payment

Mayo Clinic Laboratories accepts checks for payment. Send your payment to Mayo Clinic Laboratories.

Clients:   Sign in to view address information.

ACH Bank Transfer Payment

Mayo Clinic Laboratories accepts ACH bank transfer funds for payment. Send your ACH payment to Mayo Clinic Laboratories.

Clients:   Sign in to view address information.

Insurance

News and Developments

Mayo Clinic Laboratories is pleased to announce it has been selected as a UnitedHealthcare Preferred Lab Network (PLN) care provider. Under the agreement, effective July 1, 2019, UnitedHealthcare members will have in-network access to Mayo Clinic Laboratories’ comprehensive subspecialty testing menu.

Third-Party Billing

With prior approval, Mayo Clinic Laboratories will bill the patient's insurance provider directly for tests. To determine if your account is eligible for this third-party billing, contact your MCL sales representation or email us at mcsiacctsrec@mayo.edu .

Insurance Plans

This information is updated periodically and is subject to change. Patients are advised to check with their health plan to verify coverage and confirmation of participation with their specific plan.

Insurances will require the following information about MCL in order to confirm benefits:
NPI: 1093792350
Tax ID: 41-1346366

Mayo Clinic Laboratories is an in-network participating provider for the following insurers:

  • The Alliance
  • Beech Street PPO
  • Blue Care Network, MI
  • Wellmark (BCBS SD and IA)
  • BCBS ID
  • BCBS IL
  • BCBS KS
  • BCBS MN
  • BCBS MT
  • BCBS VT
  • BCBS MS- AHS Network Only
  • Cigna
  • Dean Health Plan, WI
  • Galaxy Health Network
  • Harvard Pilgrim Health Plan
  • HealthChoice OK
  • Health Tradition Health Plan
  • McLaren Health Plan, MI
  • Medica
  • Midlands Choice PPO
  • Multiplan PPO
  • Prime Health Services
  • Security Health Plan
  • South Country Health Alliance
  • Premera (AK and WA)
  • Priority Health
  • UCARE
  • United Healthcare (PLN)
  • VACCN
  • WEA Trust

Medicaid States

Mayo Clinic Laboratories is also registered as an approved Medicaid provider in the following states:

  • Alabama
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Georgia
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming

Prior Authorization

On behalf of our clients, Mayo Clinic 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 Clinic 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 Clinic 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 Clinic 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 Clinic Laboratories will seek approval from the contact listed on the Prior Authorization documents before proceeding with testing.

Ordering Instructions

If you are not requesting that Mayo Clinic Laboratories perform prior authorization accompanied by third party billing services, no additional steps are required.

If you would like to order one of the eligible tests and request that Mayo Clinic Laboratories perform prior authorization accompanied by third party billing services, follow these steps:

  1. Determine the appropriate test to order, and click the corresponding Test ID in the following 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 Clinic Laboratories via overnight courier. Specimens received without the prior authorization documents will be processed immediately and the order will be billed to your facility.

Eligible tests are listed in the following table:

Test ID Test Description
ARVGG Arrhythmogenic Cardiomyopathy Gene Panel, Varies
CACMG Comprehensive Arrhythmia and Cardiomyopathy Gene Panel, Varies
CAORG Comprehensive Marfan, Loeys-Dietz, Ehlers-Danlos, and Aortopathy Gene Panel, Varies
CARGG Comprehensive Arrhythmia Gene Panel, Varies
CCMGG Comprehensive Cardiomyopathy Gene Panel, Varies
CHDGG Congenital Heart Disease Gene Panel, Varies
CPVTG Catecholaminergic Polymorphic Ventricular Tachycardia Gene Panel, Varies
CRCGP Hereditary Gastrointestinal Cancer Panel, Varies
CVHBG Comprehensive Cerebrovascular Gene Panel, Varies
DCLNG Dilated Cardiomyopathy and Left Ventricular Noncompaction Cardiomyopathy Gene Panel, Varies
EDSGG Ehlers-Danlos Syndrome Gene Panel, Varies
HCHLG Hypercholesterolemia Gene Panel, Varies
HCMGG Hypertrophic Cardiomyopathy Gene Panel, Varies
HHTGG Hereditary Hemorrhagic Telangiectasia and Vascular Malformations Gene Panel, Varies
HYPBG Hypobetalipoproteinemia Gene Panel, Varies
IBDGP Inflammatory Bowel Disease Primary Immunodeficiency (PID) Panel, Varies
LIPOG Lipodystrophy Gene Panel, Varies
LQTSG Long QT Syndrome Gene Panel, Varies
MFBNG FBN1 Full Gene Sequencing with Deletion/Duplication, Varies
MFRGG Marfan, Loeys-Dietz, and Aortopathy Gene Panel, Varies
NSRGG Noonan Syndrome and Related Conditions Gene Panel, Varies
LYNCP Lynch Syndrome Panel, Varies
OIBFG Osteogenesis Imperfecta and Bone Fragility Gene Panel, Varies
PCDGG Primary Ciliary Dyskinesia Gene Panel, Varies
PRKSG PRKAR1A Full Gene Sequencing with Deletion/Duplication, Varies
PSYQP Psychotropic Pharmacogenomics Gene Panel, Varies
SQTSG Short QT Syndrome Gene Panel, Varies
WESDX Whole Exome Sequencing for Hereditary Disorders, Varies

For assistance or questions, contact the Billing office.