Are Biodesix tests covered by Medicare or Medicaid?
Biodesix testing is $0 out-of-pocket for covered claims under Original Medicare Part B and State Medicaid.
What insurance coverage can I expect for Biodesix tests?
We work with all insurance providers to access coverage for Biodesix testing.
What is the Biodesix Access Program?
Biodesix is dedicated to ensuring access to our tests, because cost should never be a barrier to quality medical care. To support patients through the process, we’ve created the Biodesix Access program to assist with: eligibility and benefits, prior authorizations, claims billing, denial management and appeals, interest-free payment plans, and financial assistance.
Who is eligible to apply for financial assistance for Biodesix testing?
Patients who meet the below requirements can apply for financial assistance:
- a household income of $175,000 or less, and;
- a household net worth of $2,000,000 or less, and;
- a Biodesix invoice for testing is $100 or higher.
How do I apply for financial assistance?
Click the following link to apply for Biodesix Financial Assistance: https://biodesix.jotform.com/team/its/prod_financial-assistance
What can I expect from the Biodesix billing process?
The first step is that the physician orders the test for the patient. Once testing is complete, Biodesix bills the insurance provider directly. The insurance provider processes the Biodesix claim.
Biodesix may reach out to the patient or the physician’s office if additional information is needed to process the claim.
What is an Explanation of Benefits (EOB)? Is this from the Insurance Company or Biodesix?
An Explanation of Benefits (EOB) is sent to the patient from their insurance company (THIS IS NOT A BILL). If insurance coverage is denied by the insurance provider, and where appropriate, Biodesix will pursue appeals on the patient’s behalf.
Note: Biodesix may require a patient’s consent to pursue an appeal. The appeal may take several months, and the insurance company may send an updated EOB or a denial letter.
Does Biodesix ‘balance bill’ a patient?
Biodesix will not ‘balance bill’ patients over and above allowed amounts or where claims are fully denied, even after appeal attempts are unsuccessful.
Any deductible, coinsurance, or copays due on a covered claim will be billed to the patient.
Biodesix also offers interest-free payment plans, HSA/FSA payment transactions, and financial assistance for those patients who apply and qualify.
How long can the Biodesix test insurance coverage claims & appeals process take?
The insurance coverage claims & appeals process timing can vary greatly. It can often take several months to exhaust all efforts.
Does Biodesix use external bill collectors?
No, Biodesix does not use external bill collectors. All Billing transactions are completed internally, by Biodesix. We do not use third party collection, and we follow all federal and state laws.
How do I contact someone to discuss additional questions related to Biodesix Lung Nodule Blood Test billing or the Biodesix Access Program?
You can contact us M-F, 8AM – 5PM Mountain Time at 1-866-432-5930 or by emailing [email protected]