Sunknowledge Sets The Benchmark in Medical Genomic Lab billing

Boost your genomic lab billing with an expert team

During these extraordinary times with this pandemic, both laboratories, pathologists are needed heavily to combat this serious crisis. You claim at present are worth a lot. Using a single window system to edit and resubmit any claims can translate the same to revenue.

At times of labor shortage and crisis, you need experts to accommodate all the required genetics and molecular codes that will accelerate your collections in the long run. You must have focus on what you do best, focusing on your genetic testing and patient care procedures. Making sure that a highly specialized team is managing the set up and knows how to code 100 different PGX, CGX and other genetic panels should be the idea ahead.

How to handle genetic lab prior authorization

As you provide high ticket tests, you have to ensure that all your details with patient eligibility checks are qualified before any procedure is performed. Avoiding any denials or unwanted surprises has to do a lot with front end checks that defines ROI in the long run. It all boils down to extending state of the art genomics billing support that is correct right from start to finish. A team that knows how to handle it all can be a blessing in disguise.

As a disciplined revenue cycle management company, Sunknowledge is your proven resource for tailored support in medical genomic lab billing. We provide our end to end practice management/ revenue cycle management support and improve your denial management priorities. We provide you a comprehensive prior authorization process with gathering of information in –


  • Patient / Subscriber information: Name, DOB, Insurance
  • Servicing provider information (LAB) : Name, NPI, Tax ID, Address, Phone#
  • Ordering provider’s information: Name, NPI, Tax ID, Address, Phone#
  • Place of Service
  • Procedure / CPT codes
  • Diagnosis codes
  • Estimated date range for Pre-authorization

Also our team is perfectly equipped to deal with all your payer contact requirements with

  • Determine the process for prior authorization request submission, i.e. portal, fax, phone etc.
  • Contact for UM/Pre-Authorization department
  • Fax to send medical notes
  • Expected turn-around time
  • Limitations/exceptions (if any)

We will also check and determine the eligibility of the patient based on the eligibility criteria of the payers. Also we will be initiating pre-authorization request that will be based on the insurance mandates along with complete medical records and information.

We will be providing the test panel description as well as the date range on an estimate of 3 months from the date of initiating the request. We will also be performing the outbound calls for checking the status of the authorization.

Also we will be following up with servicing provider/ordering provider for the additional documentation in relation to the medical and clinical notes.

All the additional requirements will be our responsibility and we will provide the same to the payer for quick approval on your prior authorization.

Partner with Sunknowledge and leverage from our stand out processes and expert resources. We are just a call away and will be providing you with a comprehensive support in genomic lab billing. Get in touch with our experts on how we reduce your billing costs by 80% and improve your collections by 97%.

The Sunknowledge versatility is Genetic testing

We are unique as we define your diagnostic tests and the panels that we cover for billing are:

  • Cardiology
  • Dermatology
  • Ear, Nose & Throat
  • Endocrinology
  • Gastroenterology
  • Hematology
  • Hereditary Cancer
  • Immunology
  • Malformations
  • Metabolic Disorders
  • Mitochondrial Disorders
  • Nephrology
  • Neurology
  • Ophthalmology
  • Pediatrics
  • Pulmonology

We have the niche ability to work as your dedicated extension for all your Whole Exome Sequencing billing requirements, single gene tests and also variant specific testing. Speak to our experts and relish the opportunity of working with your patients without worrying about patients.

We help you stand the test of time

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