Whole Exome Sequencing (for Developmental Delay and Intellectual Disability)
Insurance Prior Authorization Template for Whole Exome Sequencing (for Developmental Delay and Intellectual Disability)
File: WholeExomeSequencingDD-ID.docxInsurance Template
Tuberous Sclerosis
Insurance Prior Authorization Template for Tuberous Sclerosis
File: TuberousSclerosisMedicalJustification.docxSeizure Panel
Insurance Prior Authorization Template for Seizure Panel
File: SeizurePanel.docxRussel Silver Syndrome
Insurance Prior Authorization Template for Russel Silver Syndrome
File: RusselSilver.docxPrader-Willi Syndrome
Insurance Prior Authorization Template for Prader-Willi Syndrome
File: Prader_WilliSyndrome.docxNoonan Syndrome
Insurance Prior Authorization Template for Noonan Syndrome
File: Noonan.docxMicroarray – Parental Testing
Insurance Prior Authorization Template for Microarray - Parental Testing
File: Microarray_Parental.docxMED12 related disorder
Insurance Prior Authorization Template for MED12 related disorder
File: MED12related.docxMarfan Syndrome – Familial Mutation Testing
Insurance Prior Authorization Template for Marfan Syndrome - Familial Mutation Testing
File: Marfan_FamilialMutationTesting.docxMalignant Hyperthermia Susceptibility Panel
Insurance Prior Authorization Template for Malignant Hyperthermia Susceptibility Panel
File: MalignantHyperthermiaSusceptibilityPanel.docx