ONCOLOGY & ORGAN HEALTH TRANSFERS
Spectrum: Warm transfer calls to SPECTRUM 650.412.7251
Signatera, Altera, Prospera, Renasight : Warm transfer calls to Signatera 8555796657
Empower test ordered by an OBGYN or women’s clinic, oncologist or oncology clinic billing agents can handle the call.
ONCOLOGY & ORGAN HEALTH SCRIPTS
Oncology Tests
- Signatera
- Altera
- Empower (ovarian, uterine, colorectal, prostate, pancreatic, melanoma, gastric)
Oncology Coverage by Insurance:
–Medicare(Traditional) For Signatera, Altera, and Empower Covered- the patient is not expected to have an out-of-pocket.
–Medicaid (Traditional) For Signatera, Altera, and Empower Covered- the patient is not expected to have an out-of-pocket.
–Commercial Plan For Signatera, Altera, and Empower we will bill the patient for co-pay / deductible/coinsurance per the EOB and insurance plan.
-Commercial Plan ended up on NCS
- For Signatera patient will not have an out of pocket
- For Altera testing will not be run for stages 1 or 2, unless an exception.
- For Empower we offer the patient $249 prompt-pay rate via PTP.
-Tricare(military health benefit)
- Signatera, Altera, and Empower will be covered but we will bill the patient for deductible/coinsurance/ co-pay based on the plan.
ONCOLOGY WALK DOWN
Organ health Tests
- Prospera
- Renasight
If a parent or legal guardian calls on behalf of a minor patient, the HIPAA process should align with the caller type Patient.“We should include the parent or legal guardian’s info in the Memo
Organ health Coverage by Insurance:
–Medicare
- For Prospera and Renasight Covered- the patient is not expected to have an out-of-pocket.
–Medicare Advantage
- Prospera is covered but may have out-of-pocket based on the insurance plan.
- Renasight is Not covered, the patient may have co-pay /deductible/coinsurance per the EOB.
–Medicaid
- Prospera is Not covered.
- Renasight will need to follow EOB.
-Commercial Plan
- Prospera and Renasight will need to follow the EOB.
-Tricare(military health benefit)
- Prospera and Renasight are covered but will have deductible/coinsurance/co-pay based on the plan.
ORGAN HEALTH WALK DOWN
Last update by: Nina O (Dec 18, 2024)