The Concert Genetics Benefit Program is a transformative solution – more effective, more automated, and less burdensome than traditional approaches. It is built on three key components:

  • Quality Laboratories: High-quality, high-value labs that commit to quality standards, billing integrity, and reducing denials from inappropriate claims

  • Policies + Rules: Machine-readable medical policies to apply evidence-based standards through rules, and reimbursement policy to establish clear expectations with laboratories

  • Technology Platform: A one-of-a-kind, comprehensive platform that links all genetic tests with policies, codes, and prices, enabling claim edits and other automation

Because Concert offers a sophisticated platform that automates (or eliminates) manual work, the program can deliver better results at a lower cost and with less abrasion than traditional utilization management.