NextGxDx Selects Eligibleapi.com for Genetic Testing Insurance Eligibility Checks
Eligible API’s Connections to more than 700 Payers to Deliver Real-Time Coverage Information
NASHVILLE, Tenn., March 18, 2013 /PRNewswire/ — NextGxDx Inc., which provides an online genetic testing marketplace for healthcare professionals and hospitals, today announced that they will be leveraging Eligible API to connect their users to real-time eligibility and benefit information from the vast majority of U.S. healthcare payers. By integrating Eligible into the NextGxDx platform, healthcare professionals will be able to check their patient’s eligibility for diagnostic laboratory coverage.
“With the explosive growth in the number of genetic tests available, healthcare providers are facing significant challenges when it comes to researching appropriate tests, determining insurance coverage and estimating how much those tests will cost their patients,” said Mark Harris, Ph.D., CEO of NextGxDx. “Our research has shown that genetic counselors and labs spend an inordinate amount of time trying to determine insurance coverage of genetic testing for their patients. NextGxDx is thrilled to be able to offer assistance through Eligible API to alleviate some of this burden.”
Genetic testing eligibility checks are a time-consuming and complicated process, with costs currently estimated at $3 to $4 per claim. NextGxDx does not plan to charge for this enhancement to its platform.
“We are very excited to be included in the NextGxDx platform to help healthcare professionals and their patients gain clarity on genetic testing insurance coverage,” said Katelyn Gleason, CEO of Eligible. “We believe the information provided by our API will greatly enhance the NextGxDx user experience.”
The new “Eligibility Check” feature will be demonstrated at the American Association of Neurology National Conference in San Diego March 16-23, and the American College of Medical Genetics Conference in Phoenix March 19-23.
NextGxDx provides an online genetic testing marketplace that offers healthcare professionals and hospitals the ability to access up-to-date listings of all genetic tests from CLIA-certified laboratories, view pertinent information about each test, order tests online, and manage results electronically within the HIPAA-compliant portal. By providing clinicians with a one-stop-shop to search, compare and order genetic tests, NextGxDx reduces the time and costs associated with the ordering of genetic tests. For more information, visit www.NextGxDx.com.
About Eligible API
Eligible is a platform where software engineers at healthcare companies can instantly interoperate with more than 700 health insurance companies to process eligibility, claims, pre-authorizations, and remittance transactions. Since its launch in November, Eligible has processed close to 1 million transactions reaching every state in America.