About the program

Our genetic testing program addresses the complexities of genetic testing by providing information on evidence-based testing and directing samples to in-network laboratories where possible.

Based on the clinical information you provide, we review your request to:

  • Ensure care aligns with evidence-based clinical guidelines and/or health plan medical policies
  • Education on use of in-network labs

Benefits of participating

  • 24/7 online access to the Carelon Medical Benefits Management provider portal, a proven technology platform to process reviews in real time
  • When requested, Carelon can provide access to a database of providers who can perform the genetic counseling
  • Assurance that your practice is providing evidence-based care
  • Synchronization with health plan medical policy and clinical guidelines
  • Program designs vary by health plan. We encourage you to review the FAQs for each patient’s plan on the Resources page.