Skip to Main Content

News

Concert Genetics Policy CG.PP.551A

Date: 09/04/26

Thank you for your continued partnership with Ambetter Health. As you know, we continually review and update our payment and utilization policies to ensure that they are designed to comply with industry standards while delivering the best patient experience to our members. We are writing today to inform you of the revisions to existing policies Ambetter Health will be implementing effective 10/01/2026.

For detailed information about these policies, please refer to our Clinical and Payment Policies. For questions about this or any of our payment policies, please don’t hesitate to reach out to our Provider Services team at 1-833-890-0329 (TTY 711).

Concert Genetics Policy effective 10/01/2026

Policy Number

Policy Name

Policy Summary

CG.PP.551A

Genetic and Molecular Testing-Version A

This payment policy is supporting the entire Concert genetic testing QAI program. Concert outreaches to labs that have not already registered with them to inform them of the GTU and which codes are assigned to their tests as payable (never more than 5 per test), but registration is not required for them to have claims edited upon. This version (A) requires Concert’s unique genetic test identifier, the GTU, on every genetic testing claim.