Molecular Diagnostic Services Program (MolDX)

The Molecular Diagnostic Services Program (MolDX) remains intact and active in JE. Palmetto GBA will continue to administer the Program and all the MolDX information and articles can be found at www.palmettogba.com/Moldx.

Palmetto GBA is responsible for:

• Determinations regarding coverage
• Pricing
• Coordination with McKesson to establish a unique identification numbers
• Coordination and communication with Noridian on all claims processing guidelines

Noridian is responsible for:

• Implementing MolDx guidelines provided by Palmetto GBA
• Processing claims with Palmetto GBA guidelines
• Appeals/Reopenings for claims processing

Source: https://www.noridianmedicare.com