Product Support

For thirty years, we have been dedicated to developing, building and supporting high quality and robust tools to help diagnose lead poisoning.  Supporting our customers, and the patients who depend on them, is at the heart of our business.

Reimbursement

Clinicians, patients and payers can each realize benefits from an in-office blood lead testing program, including:

  • Providing 100% compliance – you know the test gets done
  • Enabling immediate diagnosis, education and follow up
  • Increasing patient and parent satisfaction – one visit, one fingerstick

As a result, in-office lead testing is covered by most plans as a clinically important, cost effective alternative to having testing performed by an off-site laboratory.

The links below are intended to offer providers and staff information and sample letters to assist with the coverage, coding and payment of in-office blood lead testing.

If you have questions or need assistance, please email us at reimbursement@magellandx.com.

View/download our Coding & Reimbursement Guide.

To determine how a plan covers in-office testing, you can contact the plan provider line or send a letter requesting authorization.

Sample Letter of Medical Necessity

When an insurance company does not pay for blood lead testing because it is performed in the physician office rather than at a laboratory, providers can request a policy change using these sample letters:

Physician Office Testing: Request for Policy Change to allow for in-office lead testing.
Physician Office Testing: Sample Appeal Letter for denial of coverage based on laboratory requirement.

For other appeals, providers may wish to consult these sample letters:

Sample Appeal Letter for Denial of Coverage
Sample Appeal Letter for Low Payment Rate

 

Providers may wish to include the following supporting documentation:

LeadCare II Product Specifications
LeadCare II Product Benefits