PTPA Cases – PTP/PTE Process
- Do not call out.
- Close cases to Bill Insurance
What is PTPA?
PTPA means the case has insurance that requires a genetic counseling session – the PA team will reach out to them.
PTP agents may get straight inbound calls for PTPA cases. Follow the steps below if this happens:
- Check-in Natera Care / Payor Group if the case is PTPA
- Warm transfer the call to the Prior Auth team
- The PA team will check for consent and transfer the call to a genetic counselor when consent is present. If consent is missing or incomplete, they will collect verbal consent.
- If you find one of these cases on the outbound list, close it to bill insurance, and add notes saying it was closed due to payor PTPA.
- If the patient wants to verify the billing options, let them know that they will get a bill with the billing information in 30/45 business days, and if they have any questions, to call once they have the bill.
- If the patient calls because of a missed call, review the notes to see who called the patient and transfer the patient to the correct department.
Last update by: Claudia F (August 22, 2024)