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explanation of benefits (eob) Your genetic testing experience matters to us

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Page 1: explanation of benefits (eob) - Ambry Genetics of benefits this is not a bill - retain for personal tax and medical records note to contracted providers: the covered services were

explanation ofbenefits (eob)

Your genetic testing experience matters to us

Page 2: explanation of benefits (eob) - Ambry Genetics of benefits this is not a bill - retain for personal tax and medical records note to contracted providers: the covered services were

this is not a b ill

Ambry will contact the patient within 5 days to advise them of the status and discuss OOP costs (if applicable).

this is a b ill

Our insurance contracts cover 95% of insured patients.

Page 3: explanation of benefits (eob) - Ambry Genetics of benefits this is not a bill - retain for personal tax and medical records note to contracted providers: the covered services were

50339.4089_v3 | 12.29.17

For any billing questions, please contact us at: phone: 949.900.5795 or email: [email protected]

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