Reimbursement Transparency for Labs

How Avalon’s single-contract model improves payment predictability and reduces administrative burden.

Avalon’s Approach

Avalon acts as a single contracting and claims entity through the AvalonSelect Genetic Network (ASGN). Participating labs benefit from:

A national fee schedule that ensures consistent reimbursement rates
Consolidated claims submission and Avalon-led reconciliation
Claim and payment reporting to identify discrepancies and ensure alignment with negotiated rates

Avalon simplifies the business of diagnostics allowing labs to focus on testing, not chasing payments.

A genetic lab previously working with 10 different health plans joins ASGN. Avalon’s centralized model enables the lab to:

Consolidate reimbursement across all ASGN-aligned plans under one fee schedule

Reduce out-of-network denials

Improve claims payment cycle time

Access quarterly reconciliation reports to proactively resolve underpaid claims

This predictable, transparent structure allowed the lab to reallocate FTEs from revenue cycle operations to R&D.

Talk with our network team to join the Avalon Genetic Network .