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Apply for the Access for All Application here. Please note that due to regulatory restrictions, patients who are covered under government-funded programs such as Medicaid, Medicare Adcantage, and TriCare are not eligible to apply.

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Name *

First

Last

Date of Birth *

Phone *

Email *

Insurance (please select all that apply) *

I do not have insurance
I have insurance, but my estimated out-of-pocket responsibility will be more than I can afford
I have submitted my insurance information to NxGen MDx

How many people are in your household? *

Your household size is the number of people you are financially responsible for. These people may include yourself, your spouse, your children.

Questions?

When working with NxGen MDx, you have access to our experienced support staff ready to help with questions related to billing, insurance coverage, and more by calling us at (855) 776-9436 or clicking the link below. Patients should direct all questions related to billing by contacting us directly.

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