Genetic & Molecular Testing policy updates
Track new and updated Genetic & Molecular Testing policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Cancer Screening and Surveillance: Genetic and Biomarker Tests | Arizona Complete Health | Clinical | Genetic & Molecular Testing | Modified | — |
| Concert Genetic Testing: Hematology | Arizona Complete Health | Clinical | Genetic & Molecular Testing | Modified | — |
| Concert Genetic Testing: General Approach to Genetic and Molecular Testing (PDF) | Arizona Complete Health | Clinical | Genetic & Molecular Testing | Modified | — |
| Hereditary Cancer Genetic Testing (Hereditary Cancer Susceptibility Panels and Single-Gene Analyses) | Arizona Complete Health | Clinical | Genetic & Molecular Testing | Modified | — |
| Concert Genetic Testing: Multisystem Genetic Conditions | Arizona Complete Health | Clinical | Genetic & Molecular Testing | Modified | — |
| Prenatal Cell-free DNA Testing and Maternal Serum Screening (MSS) | Arizona Complete Health | Clinical | Genetic & Molecular Testing | Modified | — |
| Concert Genetic Testing: Prenatal Diagnosis (Prenatal and pregnancy-loss genetic testing) | Arizona Complete Health | Clinical | Genetic & Molecular Testing | Modified | — |
| Prenatal and Preconception Carrier Screening | Arizona Complete Health | Clinical | Genetic & Molecular Testing | Modified | — |
| Concert Genetic Testing: Respiratory | Arizona Complete Health | Clinical | Genetic & Molecular Testing | Modified | — |
| Solid Tumor Molecular Diagnostics — Molecular Profiling, ctDNA, MRD, TMB, Fusion and Related Testing | Arizona Complete Health | Clinical | Genetic & Molecular Testing | Modified | — |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.