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Letters of Medical Necessity

Many insurance plans require prior authorization in order to perform genetic testing. When a request for prior authorization is made, it’s important to include a letter of medical necessity that explains why Athena’s testing services are needed. Below you will find letters for several of Athena’s commonly ordered tests.

Use the letter with your initial request for prior authorization. If the insurance company denies your request, include the appeal letter with your appeal of their denial.

Generic Letters
Letter | Appeal Letter

Advanced Sequencing for Epilepsy
Letters of Medical Necessity  

Complete SCN1A Evaluation, #573
Letter 

Autoimmune Epilepsy Evaluation, #5100
Letter 

Complete Tuberous Sclerosis Evaluation, #556
Letter 

Charcot-Marie-Tooth Disease (CMT) Advanced Evaluation—Initial Genetic Assessment, #4010
Letter

Charcot-Marie-Tooth Disease, Comprehensive Evaluation, #4001
Letter 

Paraneoplastic Neurological Syndromes, Initial Assessment, #4500
Letter 

Complete Ataxia Evaluation, #696
Letter | Appeal Letter

Complete Paraneoplastic Evaluation, #467
Letter | Appeal Letter

SensoriMotor Neuropathy Profile - Complete, #287
Letter | Appeal Letter

Complete Limb Girdle Muscular Dystrophy Evaluation, #603
Letter Appeal Letter

Monogenic Diabetes (MODY) Evaluation, #885
Letter | Appeal Letter

Complete PKD Evaluation, #761
Letter | Appeal Letter

Complete Alport Syndrome Evaluation, #759
Letter | Appeal Letter

Osteogenesis Imperfecta Evaluation, #860
Letter | Appeal Letter

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