ATHENA DIAGNOSTICS GENETIC STUDIES

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.
Advanced Sequencing for Epilepsy
View Condition Page for 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
Complete Paraneoplastic Evaluation, #467
Letter
SensoriMotor Neuropathy Profile - Complete, #287
Letter
Monogenic Diabetes (MODY) Evaluation, #885
Letter

Neurome™ Neurological Exome
Letter

Complete PKD Evaluation, #761
Letter

Address
Athena Diagnostics Inc.
200 Forest Street, 2nd Floor
Marlborough, MA 01752
 

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Departments
Customer Service
Phone: (800) 394-4493 option 2
Fax: 508-802-5912