2024 Cologuard order form

We're glad we can help you screen with Cologuard! Log in to track your order, view your result, and learn more. Need help? Contact us 24/7 at 1-844-870-8870 or chat online. . Ff14 white gatherer scrip farming

Alternatives to colonoscopy include sigmoidoscopy, which is a less invasive form of colonoscopy, and noninvasive methods, such as stool sample testing. According to colorectal cancer guidelines ...Forms. Vanderbilt Forms . Parent. https://doc-0k-0g-docsvi...ewOzex-IW-zBdzE39P2etV7 (pha4kids.com) Teacher. https://doc-14-0g-docsvi...3RUBvrFpriDsMV9M6hCnMuy ...COLOGUARD® ORDER REQUISITION FORM Stool-based DNA test with hemoglobin immunoassay component EXACT SCIENCES LABORATORIES, LLC 145 E Badger Rd, Ste 100, Madison, WI 53713 p: 844-870-8870 | ExactLabs.com NPI: 1629407069 TIN: 463095174 Healthcare Organization Name: _____ Visit https://www.cologuard.com/appeal to create a customized appeal letter if your insurance company denies coverage of Cologuard®. Contact the Patient Supp...the lab provides order status tracking, reducing the need for follow-up from office staff. 9. What should my patient do to complete the Cologuard test? In the privacy of their home, your patient will collect a single stool sample to enclose in the Cologuard test kit. The patient will return the completed Cologuard test kit to Exact Sciences Labs,01. Edit your cologuard order form online. Type text, add images, blackout confidential details, add comments, highlights and more. 02. Sign it in a few clicks. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 03. Share your form with others.To access test results, track order status, update personal information, and more, create an Exact Sciences account. ... Cologuard and Exact Sciences are registered ...Cologuard detects 92% of cancers and 69% of high-risk precancerous lesions (high-grade dysplasia). Cologuard is a noninvasive, stool DNA (sDNA) test to screen for colorectal cancer. The Cologuard Collection Kit lets the patient collect their sample at home. There are no dietary restrictions and no bowel preparation is required.Get help with an order. Order delivery issues. Activating your kit online. Collecting your sample. Returning your sample. Your results. Accounts & technical. Have a question or need help with your test? Find the information you need on our help portal.Get of newest version of cologuard order form • Customization, fill leave, additionally send online • Extensive databank for legal forms and templates. Business . Starting . LLC Operating Agreement . Single-Member Operating Agreement; ... Cologuard Click Form - Fill Out and Use This PDF ...Cologuard performance when used for repeat testing has not been evaluated or established. Rx only. Order forms are available online at . CologuardTest.com. or by calling . 1-844-870-8870. EXACT SCIENCES CORPORATION 441 Charmany Drive, Madison, WI 53719 ExactSciences.com | ExactLabs.com | 1-8 44-870-8870Cologuard order requisition form exact sciences laboratories, llc 145 e. badger rd, ste 100, madison, wi 53713 p: 844.870.8879 .exactlabs.com fax completed form to 844.870.8875 required provider information provider information healthcare...Once you and your healthcare provider have agreed Cologuard is right for you, then it's time to fill out the order form that's found at the end of this guide. You can complete it on your own, or your healthcare provider’s office can fill it out for you. Don't forget to ask your healthcare provider for the Cologuard Welcome Guide. Helpful ...Handy tips available filling outgoing Cologuard requisition form wired. Printing and sensing is no longer which best way to manage documents. Go digital and save time over signNow, the best solution for computerized signatures.Application its powerful functional with a simple-to-use intuitive connector to filled out Cologuard form pdf get, e-sign your, and quickly share them without jumping tabs.Unlike Cologuard Order Form 2023 forms, fillable forms, individuals can complete info directly on the digital paper. Creating them resembles printable forms but needs some extra actions. After making the form design, you have to include interactive areas where users can input their information.□ Positive Cologuard® and/or Fecal Immunochemical Test (FIT). □ Bleeding ... FAX completed order form to: 434-924-8144 WITH a copy of the following ...First and foremost, a positive result on the Cologuard test means that you need to have a colonoscopy. Not a virtual colonoscopy, or another stool test, or another scan of some sort…you need a real optical colonoscopy. Only about 4% of people will have cancer found on colonoscopy. 51% will have a precancerous polyp.To stop receiving text messages, text "STOP" to 35856 or contact us at 1-844-870-8870. DOING SO WILL ONLY OPT YOU OUT OF THE Cologuard text message program; you will remain opted in to any other Exact Sciences Laboratories text message program (s) to which you separately opted in. After you send the text message "STOP" to us, we may send ...Please call our Customer Care Center at 1-844-870-8870 (select "billing option"). If you have any questions, Customer Care is available 24/7 at 1-844-870-8870. * Exact Sciences estimate based on historical patient billing. Rate of coverage varies by state and region. Exceptions for coverage may apply; only your patients' insurers can confirm ...Cologuard ® makes ordering simple Explore the ordering options EpicCare ® Link™ Get started by registering at epiccarelink.exactscienceslabs.com to place orders and receive results quickly and efficiently. Receive email reminders when lab results are available Access patient charts, including full history with Exact Sciences LaboratoriesSchedule pickup Need help with scheduling? Contact us 24/7 at 1-844-870-8870 or Live Chat How to use your Cologuard kit Receive and unpack your Cologuard kit. Check and use before expiration date. Place your sample container into the toilet bracket. Use your Cologuard kit to collect your sample.CUSTOMIZED ORDER FORM. 1. Print or Save this PDF le 2. Take the printed copy to your healthcare provider or email the PDF le to them 3. Talk to your healthcare provider about whether or not Cologuard is right for you 4. If your healthcare provider decides Cologuard is right for you, ask them to complete the order form on page 2Important Risk Information Cologuard is not for high-risk individuals, including patients with a personal history of colorectal cancer and adenomas; have had a positive result from another colorectal cancer screening method within the last 6 months; have been diagnosed with a condition associated with high risk for colorectal cancer such as IBD, chronic ulcerative colitis, Crohn's disease; or ...Getting screened regularly is one of the best ways to prevent colon cancer. A screening can help find cancer even if you have no symptoms. And a colonoscopy isn’t the only test available. There are some you can do at home. Aetna® covers colorectal cancer screenings at no extra cost for most members 45+ when you see a doctor in your network.Fillable Order Form. Collection of most popular forms in a given sphere. Fill, sign and send anytime, anywhere, from any device with pdfFiller. Home; For Business. ... Order slip template - cologuard order form. Bodyguard order requisition form exact sciences laboratories, llc 145 e. badger rd, ste 100, madison, wi 53713 p: 844.870.8879 ...COLOGUARD® ORDER REQUISITION FORM Stool-based DNA test with hemoglobin immunoassay component EXACT SCIENCES LABORATORIES, LLC 145 E Badger Rd, Ste 100, Madison, WI 53713 p: 844-870-8870 | ExactLabs.com NPI: 1629407069 TIN: 463095174 Healthcare Organization Name: _____ Download a Cologuard® order application or explore our electronically ordering options since easy access to active request or results.When caught in early stages, colon cancer is treatable in about 90% of people. 2. The American Cancer Society recommends those at average risk get screened starting at age 45, since colon cancer is on the rise in people under the age of 50. 3. Many patients with early‐stage colon cancer have no symptoms and are diagnosed through screening. 1.Contact Us. Last Updated: 10/05/2023. Health Net members can view and download files including claim forms, enrollment forms, pharmacy information, grievance forms and more.Cologuard tests for abnormal DNA and hidden blood in your stool. This test is done at home. It is delivered to your door in a box and uses a full stool sample that is sent to the lab for testing. Yes, but not with Cologuard. 1. A visual examination or colonoscopy performed by a gastroenterologist that uses a scope to look at the entire length ...cologuard requisition form pdf exact sciences cologuard form cologuard order form 2021 cologuard order form 2022 cologuard fax number. Related links. Rule 3006-1 Claims - Withdrawal. A request to withdraw a claim must state: (a) whether an objection to the claim was filed;. (b) whether a complaint was filed against the claimant; and. (c) ...Quick steps to complete and e-sign Cologuard Order Form online: Use Get Form or simply click on the template preview to open it in the editor. Start completing the fillable fields and carefully type in required information. Use the Cross or Check marks in the top toolbar to select your answers in the list boxes. If you need to renew your passport, you will need to fill out a DS-82 form. This form is used for passport renewals by mail and must be printed out in order to be filled out. Here is a step-by-step guide to printing a blank DS-82 form.Cologuard showed. superior sensitivity. compared with FIT* in detecting colorectal cancer (CRC) and advanced precancerous polyps. In a prospective, head-to-head, point-in-time, 90-site, pivotal study of 10,000 patients aged 50-84 years at average risk for CRC, published in The New England Journal of Medicine, Cologuard demonstrated 1†:Cologuard is recommended by the American Cancer Society every 3 years. Front Desk Contact information (804) 734-9993. Family Medicine Clinic. Dr. Eugene Kastelberg, MD. Colorectal Cancer. Please take advantage of our newest program for obtaining colon cancer screening Non-invasive and no-prep Colorectal Cancer screening kit from Exact Science ...The Cologuard order form is a document used to request a Cologuard test kit, which is a noninvasive screening test for colorectal cancer. Cologuard is a prescription-only test that can be ordered by healthcare providers for their patients who are eligible for colorectal cancer screening. The order form typically includes the necessary ...Cologuard Order Form is an online form that is used to order Cologuard tests, which are used to detect colorectal cancer. The form includes information about the patient, such as name, date of birth, and insurance information, as well as laboratory testing instructions and a consent form. Read one Cologuard® order form or discovery our electronic ordering options by easy access to patient information and results. x. Home. Patient Site. Order Submit. ... Cologuard Rescreening. Follow-up Colonoscopy Adherence. Life-Years Received. Coverage and Support. Coverage. Comprehensive Support.In order to use EpicCare Link, you must use one of the following platforms: Microsoft® Windows® Google Chrome™ version 88 or above Microsoft Edge version 88 or above Mozilla Firefox™ version 78 or above Mac OS® X. Apple Safari™ version 14 or aboveCOLOGUARD® ORDER REQUISITION FORM Stool-based DNA test with hemoglobin immunoassay component EXACT SCIENCES LABORATORIES, LLC 145 E Badger Rd, Ste 100, Madison, WI 53713 p: 844-870-8870 | ExactLabs.com NPI: 1629407069 TIN: 463095174 Healthcare Organization Name: _____11 ធ្នូ 2017 ... Publisher Request Form. Membership. Membership Overview · Local Chapters ... + Cologuard = ? screening. Thread starter kimberliterpstra; Start ...The below pick can help you filler out Cologuard Order Form express and easily: Open the form in our full-fledged online editor by hitting Get form. Complete the required boxes which have colored in yellow. Click the greenish arrow with the inscription Next to transfer upon from box in box.Cologuard Order Form . Uses a cologuard order form 0 template to make your document workflow more streamlined. Get entry. Test results or other information recommended available reimbursement at appeal any repayment denials and authorizes all reimbursements to be sold directly to the laboratory in consideration since billing performed. ...Therefore, the signNow web application is a must-have for completing and signing cologuard order form on the go. In a matter of seconds, receive an electronic document with a legally-binding signature. Get cologuard form signed right from your smartphone using these six tips: Type signnow.com in your phone’s browser and log in to your account. COLOGUARD® ORDER REQUISITION FORM EXACT SCIENCES LABORATORIES, LLC 145 E. Badger Rd, Ste 100, Madison, WI 53713 P: 844-870-8879 | www.exactlabs.com …1 មិថុនា 2015 ... This forms the basis for molecular (DNA-based) ... Within a day or two of receiving the Cologuard order from Marshfield Labs, Exact Sciences.May 30, 2023 · Cologuard is a noninvasive colon cancer screening test done in the privacy of your home. ... You can fill out a form on the company’s website that makes a customized order form for you to bring ... 01. Edit your cologuard printable order form online. Type text, add images, blackout confidential details, add comments, highlights and more. 02. Sign it in a few clicks. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 03. Share your form with others. Read the following instructions to use CocoDoc to start editing and filling out your Cologuard Order: To begin with, seek the “Get Form” button and press it. Wait until Cologuard Order is ready to use. Customize your document by using the toolbar on the top. Download your completed form and share it as you needed. Get Form. Download the form COLOGUARD® ORDER REQUISITION FORM Stool-based DNA test with hemoglobin immunoassay component EXACT SCIENCES LABORATORIES, LLC 145 E Badger Rd, Ste 100, Madison, WI 53713 p: 844-870-8870 | ExactLabs.com NPI: 1629407069 TIN: 463095174 Healthcare Organization Name: _____ Provider Name ...Transfer a Cologuard® order form or explore my electronic ordering options for simply access on patient information and findings. efface. Home. Patient Site. ... Cologuard contrast FIT. Ease of Use. Related Disease. National Guidelines. Better CRC Outcomes. Cologuard Adherence. Cologuard Rescreening. Follow-up Colonoscopy Bond.Click on the orange Get Form option to begin filling out. Activate the Wizard mode in the top toolbar to acquire extra tips. Fill in each fillable field. Be sure the details you add to the Cologuard Order Form is updated and correct. Indicate the date to the record with the Date tool. Click the Sign icon and make an e-signature.□ Positive Cologuard® and/or Fecal Immunochemical Test (FIT). □ Bleeding ... FAX completed order form to: 434-924-8144 WITH a copy of the following ...Cologuard. I will maintain the privacy of test results and related information as required by HIPAA. I authorize Exact Sciences Laboratories to obtain reimbursement for Cologuard and to directly contact and collect a second sample from the patient as appropriate. _____ Ordering Provider Signature Date of OrderDedicated resources for patient support, patient reminders, billing, and reimbursement. Outreach for non-compliant patients to return sample. Real-time sample tracking throughout the testing process. Translation services support 70 languages. Call 1-844-870-8870. Our customer support center is here to provide 24/7 help for physicians and patients.Pay aCologuard ® bill. If you've received a bill from Exact Sciences Laboratories, you may use the links below to pay. Need assistance? Call Customer Care at 1-844-870-8870.View Cologuard.pdf from HSC MISC at Concordia University. COLOGUARD® ORDER REQUISITION FORM Order Information EXACT SCIENCES LABORATORIES, LLC 145 E. Badger Rd, SteCologuard performance in adults ages 45-49 is estimated based on a large clinical study of patients 50 and older. received false positive results and 8% received false negative results. Cologuard is a noninvasive screening option. There’s no prep and you can screen in the privacy of your home. Cologuard finds 94% of Stage I & II cancers5COLOGUARD ® ORDER. REQUISITION FORM. Stool-based DNA test with hemoglobin immunoassay component. EXACT SCIENCES LABORATORIES, LLC. 145 E Badger Rd, Ste 100, Madison, WI 53713. ... (Exact) to bill my insurance/health plan and furnish them with my Cologuard order information, test results, or other information requested .Cologuard detected altered DNA and/or blood in your stool; This could be due to precancerous growths, colorectal cancer, or some other reason; It's important to know that this is not the same as a cancer diagnosis; If your Cologuard test is positive and you are not experiencing symptoms, a colonoscopy is recommended to rule out cancer.Becoming a Client. If you're ready to order Cologuard, click here to download an order form that can be completed and faxed to our lab (1-844-870-8875). Sign up to order Cologuard through a secure web-based portal, and also allows you to track patient orders, monitor compliance and access reports. Get started by filling out the form here .Procure the newest version of cologuard order form • Customize, fill out, additionally send online • Extensive database of legal forms and templates. Business . Starting . LLC Operating Agreement . Single-Member Operating Discussion; ... Cologuard Order Download - Fill Out additionally Use This PDF ...Action. August 11, 2014. CMS initiates this national coverage analysis for Screening for Colorectal Cancer using Cologuard™– a multitarget sDNA test and posts the proposed decision memorandum. A 30-day public comment period begins. September 10, 2014. The 30-day public comment period on the proposed decision memorandum closes.Colonoscopy is one of the most sensitive tests currently available for colon cancer screening. The doctor can view your entire colon and rectum. Abnormal tissue, such as polyps, and tissue samples (biopsies) can be removed through the scope during the exam. The exam might not detect all small polyps and cancers.PROVIDER INFORMATION ORDER INFORMATION. PATIENT AUTHORIZATIONS, ASSIGNMENT OF BENEFITS (AOB) & FINANCIAL RESPONSIBILITIES. I authorize Exact Sciences Laboratories (Exact) to bill my insurance/health plan and furnish them with my Cologuard order information, test results, or other information requested . for reimbursement.First and foremost, a positive result on the Cologuard test means that you need to have a colonoscopy. Not a virtual colonoscopy, or another stool test, or another scan of some sort…you need a real optical colonoscopy. Only about 4% of people will have cancer found on colonoscopy. 51% will have a precancerous polyp.Order slip template - cologuard order form Bodyguard order requisition form exact sciences laboratories, llc 145 e. badger rd, ste 100, madison, wi 53713 p: 844.870.8879 .exactlabs.com fax completed form to 844.870.8875 required provider information healthcare organization: location...Cologuard is intended to screen adults 45 years of age and older who are at average risk for colorectal cancer by detecting certain DNA markers and blood in the stool. Do not use if you have had adenomas, have inflammatory bowel disease and certain hereditary syndromes, or a personal or family history of colorectal cancer. Please note that most EMR systems allow you to create a test requisition form template to order tests. These steps are provided as a convenience for adding a template to order Cologuard. If you need further assistance please contact your EMR vendor for support. Add Exact Sciences Laboratories and Cologuard to your EMR Lab Compendium and Test …A stool DNA test (Cologuard) will be covered by Medicare every 3 years for people 50 to 85 years of age who do not have symptoms of colorectal cancer and who do not have an increased risk of colorectal cancer. Most Medicare plans allow recipients to obtain these tests without the need for copayments or coinsurance, and the deductible will not ...Cologuard: The cost for the test ranges from $581 to $681, depending on when you pay. A call to the toll-free number, 844-870-8870, can get you a $100 discount if you pay in full upfront. Otherwise, the cash price is $681 at the time of this article’s publishing. A Cologuard test requires a prescription from your doctor.Colon cancer screening is recommended for everyone between the ages of 45 and 75—even if you don't have symptoms. People with early colon cancer may not have any symptoms. This is why routine screening is so important. Screening tests can detect early cancer or precancerous changes long before these cause symptoms and while they are still ...View, download, or print commonly used forms, guidebooks, handbooks, and other publications. Please tell us your location so we can take you to information customized for that area. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii • Kaiser Foundation Health ...Cologuard order form. Get the up-to-date cologuard arrange form 2023 now Get Form. 4.8 out of 5. 181 votes. DocHub Berichte. 44 bewertungen. DocHub Reviews. 23 feature. 15,005. 10,000,000+ 303. 100,000+ users . ... The easiest way to modify Cologuard order request in PDF format online. 9.5. Ease of Setup.Whole exome sequencing and whole genome sequencing are methods to rapidly identify genetic variations. Learn more about these forms of genetic sequencing. Determining the order of DNA building blocks (nucleotides) in an individual's genetic...Watch a step-by-step process of how to collect your Cologuard stool sample the correct way. Be sure to return your kit within a day of collecting. Contact th...Colonoscopy is one of the most sensitive tests currently available for colon cancer screening. The doctor can view your entire colon and rectum. Abnormal tissue, such as polyps, and tissue samples (biopsies) can be removed through the scope during the exam. The exam might not detect all small polyps and cancers.Cancel Cologuard. Kit Pickup. Wish to cancel a Cologuard Kit pick up you recently scheduled with UPS®? Enter the confirmation number you received when you scheduled the pickup, below. Need assistance? Call 1-844-870-8870. Pickup Request Number. Version M3.20210823.11. Five9 LiveChat Client.Because Screening For Cancer Should Be Affordable. Nationwide Scheduling | Phone : 1-855-542-6566 | Fax : 847-984-1164Cologuard Request Shape - Fill Out and Use Aforementioned PDF. Cologuard Order Form belongs an easy, convenient press low-cost way to get screened for colon polyps. Our software is simple and secure. Press and button below to starts filling out your this form select. This may be complete on any latest device.Cologuard: CPT codes covered if selection ... testing (FIT) differs from guaiac based FOBT in that there are no dietary or drug restrictions prior to this form of testing. Colonoscopy will be needed if the test is positive. ... (ColonSentry) in February 2012 to be used to identify patients at increased risk of colorectal cancer in order to ...

Once you and your healthcare provider have agreed Cologuard is right for you, then it's time to fill out the order form that's found at the end of this guide. You can complete it on your own, or your healthcare provider’s office can fill it out for you. Don't forget to ask your healthcare provider for the Cologuard Welcome Guide. Helpful .... La fitness king drive

Cologuard order form. Get the up-to-date cologuard order form 2023 now Get Form. Show details. 4.4 out of 5. 37 votes. Phone number a required. Receive follow-up is not always available depended switch the informations needed from the patient. Initialized Follow-up Type Phone E-mailing Home Mobile Jobs Send Address optional TEST INTELLIGENCE ...Handy tips available filling outgoing Cologuard requisition form wired. Printing and sensing is no longer which best way to manage documents. Go digital and save time over signNow, the best solution for computerized signatures.Application its powerful functional with a simple-to-use intuitive connector to filled out Cologuard form pdf get, e-sign your, and quickly share them without jumping tabs.Take the newest release away cologuard order form • Customize, fill out, the send online • Extensive database of legal download and templates.Download an Cologuard® order form or explore our electronic arrangement choice for easy access to patient information and results.COLOGUARD® ORDER REQUISITION FORM Stool-based DNA test with hemoglobin immunoassay component EXACT SCIENCES LABORATORIES, LLC 145 E Badger Rd, Ste 100, Madison, WI 53713 p: 844-870-8870 | ExactLabs.com NPI: 1629407069 TIN: 463095174 Healthcare Organization Name: _____ A Cologuard order form must include the following information: 1. Patient’s name, age, and gender 2. Physician’s name and contact information 3. Insurance information 4. Reason for the Cologuard test 5. Contact information for the laboratory that will process the test 6. Date of the scheduled Cologuard test 7.Get the newest version of cologuard order form • Customize, fill out, furthermore send live • Extensive database of legitimate forms and templates.Cologuard Order Form - Occupy Out and Use This PDF. Cologuard Order Form is with light, convenient plus affordable procedure into get screened for large polyps.Enter your information below to request UPS® to pick up your Cologuard kit at your home. Plan to collect your sample when you can get it back to UPS that same day or next day. Remember some places are closed on Sunday or holidays. Need assistance? Call 1-844-870-8870. All fields are required except those otherwise indicated. Pickup Date.ORDER COLOGUARD BY FAX. Click the button below to download an order form. Download an Order Form (PDF) EPICCARE LINK PROVIDER PORTAL. Signing up for our secure Web portal allows you to track patient orders, monitor test compliance, and access reports online. Set Up My EpicCare Link Provider Portal.COLOGUARD ® ORDER REQUISITION FORM. Stool-based DNA test with hemoglobin immunoassay component. EXACT SCIENCES LABORATORIES, LLC . 145 E Badger Rd, Ste 100, Madison, WI 53713 p: 844-870-8870 | ExactLabs.com NPI: 1629407069 TIN: 463095174. Healthcare Organization Name: _____ Provider Name: ...01. Edit your cologuard order form online. Type text, add images, blackout confidential details, add comments, highlights and more. 02. Sign it in a few clicks. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 03. Share your form with others.Fill out WI Cologuard Form FRM-3004-05-c within a couple of clicks by using the instructions listed below: Choose the document template you need in the collection of legal form samples. Click the Get form key to open it and start editing. Fill out all of the requested boxes (they are marked in yellow).View Openings. “Our mission started motivating me from the day I learned what Exact Sciences was working to accomplish. Each of us can tell a story about how cancer has impacted our lives either personally or through family, friends, and/or acquaintances. Earlier cancer detection can make a real and positive impact on those stories.Discover a few ways to return a completed Cologuard® kit with UPS®, including the option to schedule a contact-free pickup without ever needing to leave home...Cologuard tests for atypical DNA in addition to blood, and some may consider this screening more thorough. However, a small 2020 study showed that Cologuard returned a 13.4% false-positive result ...Therefore, the signNow web application is a must-have for completing and signing cologuard order form on the go. In a matter of seconds, receive an electronic document with a legally-binding signature. Get cologuard form signed right from your smartphone using these six tips: Type signnow.com in your phone’s browser and log in to your account. 2286136257 rchat/Shutterstock. Cologuard is a noninvasive stool-based screening test for colorectal cancer that works by detecting specific DNA alterations and blood abnormalities that have an ...PROVIDER INFORMATION ORDER INFORMATION. PATIENT AUTHORIZATIONS, ASSIGNMENT OF BENEFITS (AOB) & FINANCIAL RESPONSIBILITIES. I authorize Exact Sciences Laboratories (Exact) to bill my insurance/health plan and furnish them with my Cologuard order information, test results, or other information requested . for reimbursement. PROVIDER INFORMATION ORDER INFORMATION. PATIENT AUTHORIZATIONS, ASSIGNMENT OF BENEFITS (AOB) & FINANCIAL RESPONSIBILITIES. I authorize Exact Sciences Laboratories (Exact) to bill my insurance/health plan and furnish them with my Cologuard order information, test results, or other information requested . for reimbursement..

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