Insurance denials and diagnostic rates in a pediatric genomic research cohort.

ABSTRACT:

Purpose

This study aimed to assess the amount and types of clinical genetic testing denied by insurance and the rate of diagnostic and candidate genetic findings identified through research in patients who faced insurance denials.

Methods

Analysis consisted of review of insurance denials in 801 patients enrolled in a pediatric genomic research repository with either no previous genetic testing or previous negative genetic testing result identified through cross-referencing with insurance prior-authorizations in patient medical records. Patients and denials were also categorized by type of insurance coverage. Diagnostic findings and candidate genetic findings in these groups were determined through review of our internal variant database and patient charts.

Results

Of

SUBMITTER: Zion TN 

PROVIDER: S-EPMC10584034 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature