Natera $9.5M Genetic Screening Test Billing Settlement, Who Qualifies and How to Claim by May 3, 2027

If Natera, Inc. billed you more than $249 or $349 for a Panorama prenatal screening test or a Horizon carrier screening test, you may be able to claim money from a proposed $9.5 million class action settlement. The case, Calcaterra v. Natera, Inc., claims Natera misled patients about what they would pay out of pocket. Natera denies any wrongdoing.

You must file a claim. The claim deadline is May 3, 2027. The opt-out and objection deadline comes much sooner, on December 28, 2026.

Important: The settlement is not final yet. The court granted preliminary approval on September 2, 2026, and the Final Approval Hearing is set for March 2, 2027. The claim deadline falls after that hearing, so you can file now and do not need to wait.

This is a different case from the $8.25 million Natera prenatal testing settlement about test accuracy. This article covers only the billing settlement.

Official settlement website: geneticscreeningtestsettlement.com Online Claim Form: Submit your claim (you need the Class Member ID printed at the top of your email or postcard notice)

Natera Genetic Screening Billing Settlement: Quick Facts

Detail	Information
Official settlement website	geneticscreeningtestsettlement.com
Online Claim Form	Submit your claim
Case name	Calcaterra v. Natera, Inc.
Case number	4:23-cv-06342-YGR
Court	U.S. District Court, Northern District of California
Judge	Chief Judge Yvonne Gonzalez Rogers
Defendant	Natera, Inc.
Settlement fund	$9.5 million, with no admission of liability
Tests covered	Panorama noninvasive prenatal testing and Horizon genetic carrier screening
Test dates	July 10, 2019 through September 2, 2026
Billing thresholds	More than $249 (Panorama without microdeletions); more than $349 (Panorama with microdeletions); more than $349 (Horizon)
Payment without proof of payment	No more than $50
Claim required	Yes
Opt-out deadline	December 28, 2026 (must be received)
Objection deadline	December 28, 2026 (must be postmarked)
Final Approval Hearing	March 2, 2027, 9:00 a.m. PT (date may change)
Claim deadline	May 3, 2027 (online, or received if mailed)
Status	Final approval pending
Settlement administrator	Kroll Settlement Administration LLC
Phone	(833) 453-3593

What Is the Natera Billing Lawsuit About?

The lawsuit alleges that Natera represented that patients’ out-of-pocket cost for its tests would not exceed $249, but then billed some patients several hundred or even thousands of dollars. The plaintiffs say Natera’s conduct violated consumer protection laws and common law. The proposed class covers people across the United States.

Natera denies the allegations. According to the settlement FAQ, Natera says it is broadly in-network with most U.S. health plans, that the overwhelming majority of patients owe less than $249 or $349 depending on the test and plan, and that it gives cost and coverage information through brochures, its website, and a complimentary pre-test cost estimate service. The court has not decided who is right, and the settlement is not an admission of wrongdoing.

The case has a long history. A patient first sued in November 2021. The federal court dismissed the case without prejudice in May 2023, the plaintiff refiled in California state court in July 2023, and after an additional plaintiff was added the case returned to federal court, where Rachel Calcaterra is the named plaintiff.

Not about test accuracy. This settlement concerns billing communications and out-of-pocket costs. It is not a finding that Panorama or Horizon tests are inaccurate or medically defective.

Is This the Same as the $8.25 Million Natera Prenatal Testing Settlement?

No. That was a separate case, In re Natera Prenatal Testing Litigation, about allegations that prenatal tests were marketed as more reliable than they were. Different allegations, different class, different terms. See our coverage of the Natera $8.25M prenatal screening settlement. If you are in both, your combined recovery cannot exceed what you paid out of pocket for your test.

Who Qualifies for the Natera Billing Settlement?

You may be in the settlement class if Natera performed a Panorama or Horizon test for you between July 10, 2019 and September 2, 2026, and Natera billed you more than the applicable amount:

• More than $249 for Panorama noninvasive prenatal testing without microdeletions
• More than $349 for Panorama noninvasive prenatal testing with microdeletions
• More than $349 for Horizon genetic carrier screening

The court preliminarily certified the class for settlement purposes on September 2, 2026. People who validly opt out are excluded.

Did you get a notice? Class members are being notified by email or postcard. Your notice contains the Class Member ID you need to file online. If you think you qualify but did not get a notice, or you are not sure whether you are included, contact the administrator at (833) 453-3593 or through the contact form on the official website.

How Much Can You Get From the Natera Settlement?

There is no single payment amount for everyone. The settlement fund is shared among class members who file valid claims, and how much you can receive depends on whether you can show what you paid.

• With proof of payment: Claimants whose payment above the threshold is documented receive a share of the fund after court-approved costs. Your payment cannot exceed what you actually paid out of pocket, and the amount depends on how many valid claims are filed.
• Without proof of payment: You can still claim, but your payment is capped. The settlement sets a maximum of $50 for claimants without proof.

Do not count on a particular figure. The exact allocation formula is in the Notice and Settlement Agreement on the official website, and the final amounts will not be known until claims are processed and the court approves the settlement.

Where the $9.5 Million Goes

The fund must cover payments to class members, attorneys’ fees and litigation expenses, a service award for the named plaintiff, and notice and administration costs. The court decides what fees, expenses, and service award to approve and can award less than what is requested. Class counsel are Wolf Popper LLP and Berman Tabacco. You are not charged for them. See the official FAQ for the fee request details.

Changes Natera Agreed to Make

Beyond money, Natera agreed to add disclosures. Patient invoices for the covered tests will direct patients to the back of the bill for its billing policy and payment options, and test requisition forms will describe Natera’s price transparency program and the information patients must provide to get cost information. These changes are part of the settlement and do not mean Natera admitted it did anything wrong.

How to File a Natera Settlement Claim

1. Find your notice and your Class Member ID at the top of it.
2. Go to the online Claim Form and log in with your Class Member ID.
3. Complete the form. It asks for your contact information, information about your genetic screening test, and your payment selection, and ends with a certification and signature.
4. Add your records if you have them. Invoices, receipts, bank or card statements, and insurance explanation-of-benefits forms can show what you paid Natera.
5. Submit by May 3, 2027. Online claims are due by that date.

To file by mail, download the paper Claim Form from the Important Documents page of the official website and mail it to:

Settlement Administrator – 83476 c/o Kroll Settlement Administration LLC P.O. Box 225391 New York, NY 10150-5391

A mailed claim must be received (not just postmarked) by May 3, 2027. Keep a copy of everything you submit.

Beware of scams. Use only the official settlement website, and never pay anyone to file this claim for you.

Your Options in the Natera Billing Settlement

Option	What it means	Deadline
File a claim	The only way to get paid. You are bound by the release	May 3, 2027
Opt out	No payment. You keep the right to sue Natera over the claims this settlement releases	Received by December 28, 2026
Object	You tell the court what you do or do not like about the settlement, the plan of allocation, the fee and expense request, or the service award. You must stay in the class	Postmarked by December 28, 2026
Do nothing	No payment, and you can give up the right to sue over the released claims	None

How to Opt Out

Your opt-out request must include your name, address, telephone number, a statement that you want to be excluded from Calcaterra v. Natera, Inc., and your signature. It can be submitted online or by mail, but it must be received by December 28, 2026. Follow the instructions in the official notice and on the website.

How to Object

Your objection must follow the requirements in the official notice, including identifying the case, giving your contact information, explaining your reasons, and providing supporting documentation of your purchase of the covered test. It must be postmarked no later than December 28, 2026. Objecting is different from opting out: if you object, you stay in the class and can still file a claim.

What the Release Covers

If the settlement becomes final and you do not opt out, you release claims arising from the facts alleged in the lawsuit, including claims about Natera’s marketing, advertising, pricing, billing, insurance billing and reimbursement, and patient payment obligations for the covered tests. The release does not cover personal injury claims or the claims in In re Natera Prenatal Testing Litigation. The Settlement Agreement controls, so read it before you decide.

Natera Settlement Final Approval Hearing

The court will hold the Final Approval Hearing on March 2, 2027, at 9:00 a.m. Pacific Time before Judge Yvonne Gonzalez Rogers in the Northern District of California (Oakland). The judge will decide whether the settlement is fair, reasonable, and adequate, and will consider the requested fees, expenses, and service award. The date may change, so check the official website for updates.

When Will Natera Settlement Payments Be Sent?

There is no confirmed payment date. Payments depend on final approval, and the claim deadline of May 3, 2027 falls after the hearing. An appeal could delay payments further. Filing a claim does not mean a payment will arrive soon after the deadline.

Natera Billing Settlement Key Dates

Event	Date
Court grants preliminary approval	September 2, 2026
Opt-out deadline (received)	December 28, 2026
Objection deadline (postmarked)	December 28, 2026
Final Approval Hearing	March 2, 2027, 9:00 a.m. PT
Claim deadline	May 3, 2027
Payments	Not yet determined

Natera Genetic Screening Settlement FAQ

How much is the Natera genetic screening settlement?

The proposed settlement fund is $9.5 million. Individual payments depend on the settlement’s allocation and the number of valid claims. The amount is not fixed.

Do I have to file a claim?

Yes. You must submit a valid Claim Form by May 3, 2027 to receive a payment.

Do I need proof of payment?

No. You can claim without proof, but payments without proof are capped at $50. Records showing what you paid Natera can help support a larger claim.

Who qualifies?

People who had a Natera Panorama or Horizon test between July 10, 2019 and September 2, 2026 and were billed more than $249 or $349, depending on the test.

Is this the same as the Natera prenatal testing settlement?

No. That was a separate $8.25 million case about test accuracy and marketing. This one is about billing.

What is the opt-out deadline?

December 28, 2026. Your request must be received by then. If you opt out, you receive no payment.

What is the objection deadline?

December 28, 2026. Your objection must be postmarked by then.

Is the settlement final?

No. It is a proposed settlement that still needs final approval after the March 2, 2027 hearing.

Did Natera admit wrongdoing?

No. Natera denies the allegations, and the settlement is not an admission of liability.

What happens if I do nothing?

You get no payment, and if the settlement becomes final you can give up the right to sue over the released claims.

Do I need my own lawyer?

No. The court provisionally appointed class counsel to represent the class, and you are not charged. You can hire your own lawyer at your own cost.

How to Contact the Settlement Administrator

• Website: geneticscreeningtestsettlement.com
• Phone: (833) 453-3593
• Mail: Settlement Administrator – 83476, c/o Kroll Settlement Administration LLC, P.O. Box 225391, New York, NY 10150-5391

Bottom Line

If Natera billed you more than $249 or $349 for a Panorama or Horizon test between July 10, 2019 and September 2, 2026, you may be able to claim from the $9.5 million settlement, but only if you file by May 3, 2027. Claims without proof are capped at $50, there is no fixed payment for everyone, and nothing is paid until the court grants final approval. If you want to opt out or object, act sooner, by December 28, 2026.

Sources

1. Calcaterra v. Natera, Inc. official settlement website, Home (geneticscreeningtestsettlement.com)
2. Official settlement website, Frequently Asked Questions (geneticscreeningtestsettlement.com/faq)
3. Official settlement website, Important Documents: Settlement Agreement, Preliminary Approval Order, Notices, and Claim Form (geneticscreeningtestsettlement.com/documents)
4. Official online Claim Form, operated by Kroll Settlement Administration LLC (forms.ksacms.com)
5. Natera, Inc., Quarterly Report on Form 10-Q (litigation disclosures), U.S. Securities and Exchange Commission

Researched and written by Israr Ahmad, legal content researcher and founder of AllAboutLawyer.com. Key dates were checked against the official settlement website as of October 6, 2026. The Notice and Settlement Agreement control if they differ from this summary.

Disclaimer: AllAboutLawyer.com is not a law firm, and I am not an attorney. This article is general legal information, not legal or medical advice, and does not create an attorney-client relationship. Settlement terms, deadlines, payment amounts, and court dates can change, so confirm them on the official website before you act. If you are unsure whether to claim, opt out, or object, consider speaking with a licensed attorney.