NCGL Medicaid Billing FAQs

FREQUENTLY ASKED QUESTIONS (FAQs) about Medicaid:

I have Medicare/Medicaid, do you accept that?

Yes, the Northwest Clinical Genomics Laboratory (NCGL) will bill Medicare and Medicaid directly with the appropriate authorization and enrollment.

What do I need to do to bill Medicare?

Please send a photocopy of the front and back of your Medicare card along with the completed lab test requisition form.

What do I need to do to bill Medicaid?

Listed below are several steps to guide you through the process:

Step 1:  Is NCGL enrolled with your state Medicaid?

  • If yes, proceed to step 2
  • If no, proceed to step 3

Step 2:  Is the test covered by state Medicaid?  To check if test is covered, provide Medicaid with test name, CPT code, NPI# and Federal Tax ID

  • If yes, proceed to step 2A
  • If no, proceed to step 2B
    • Step 2A:  Is authorization required?
      • Yes:  Please obtain and submit letter of authorization with sample, Medicaid claims address, copy of card, and letter of necessity from referring physician
      • No:  Please note this on requisition and provide the items listed above
    • Step 2B:  If testing is not covered regardless of authorization and you have Medicare or Washington State Medicaid, please contact NCGL billing (toll free 888-234-5467) to apply for charity services. If you do not have Medicare or WA State Medicaid, please contact NCGL office at cathen@uw.edu with a written explanation of why aid is requested.

Step 3:  Would the test be covered if NCGL was enrolled? To check if test is covered, provide Medicaid with test name, CPT code, NPI# and Federal Tax ID (see above)

  • If yes, proceed to step 3A
  • If no, proceed to step 3B
    • Step 3A:  Obtain the appropriate authorization and contact Susan Simon at (206) 520-5618 to arrange enrollment of the NCGL into your state Medicaid program
    • Step 3B:  If testing is not covered regardless of enrollment, please contact the NCGL office at cathen@uw.edu with a written explanation of why aid is requested.

Testing has been completed and I have a question about my bill, who can I call?

Questions on patient payments are handled by the UWP Call Center, (206) 543-8606 or toll-free 888-234-5467

I still have questions, who can I contact?

Please contact Catherine Nguyen at (206) 543-0459 or cathen@uw.edu with all other billing inquiries.