What to Expect from the Prescience Diagnostics Billing Process
Step 1
Once your provider places the test order, Prescience Diagnostics will typically handle the prior authorization (PA) request with your insurance company, if required. While we’re in-network with many insurers, PAs are often needed for genetic testing.
Step 2
Your provider may initiate a benefits investigation (BI) to estimate your potential out-of-pocket costs. Keep in mind, this is only an estimate and may change based on your plan’s approval process or PA status.
Step 3
Your actual out-of-pocket costs will depend on several factors, including the specific test ordered and your insurance plan’s terms—such as copay, coinsurance, and whether your deductible has been met.
Even if your insurance covers the test, you may still receive a bill if your annual deductible hasn’t been fulfilled. Like other forms of medical care, genetic testing is subject to your insurance plan’s policies.
If you have questions about your bill or think it needs to be reviewed, reach out to our billing team at info@presciencedx.com.