Biocept Billing Policy
Submit insurance claims on patients’ behalf
Work with patients to submit insurance claim appeals depending upon the state and the carrier
Provide supporting documents if a patient appeal is required
Keep patients informed throughout the process and only send a patient bill when it has been determined that the patient does have a portion to pay
Most health plans cover our testing and it may be determined that the patient may have a balance (co-pay, deductible, or co-insurance) based upon the individual benefit design of their policy. In addition, some health plans reimburse the patient directly for the laboratory services when the laboratory is an out-of-network provider. If a patient does receive a payment or has a co-pay or deductible owed, please forward the payment to:
Biocept, Inc., File 1689, 1801 W. Olympic Blvd., Pasadena, CA 91199-1689
If there are any questions, please call 888.332.7410.
Disclaimer: While Biocept will bill a patient’s third-party payor for any services Biocept provides and will work with such payors to obtain payment, the patient is ultimately responsible for the payment of services and Biocept cannot guarantee that it will be able to obtain all or partial payment from a patient’s insurer or any third-party payor. In addition, a patient is responsible for any and all co-insurance, co-payment or deductible amounts.
During the COVID-19 emergency period declared by the Public Health Act, Section 4242(b) (1) of the CARES Act of 2020 requires laboratory providers to provide their cash price for the tests on their website. Biocept’s cash price for COVID-19 Test is $225.00. Please note that we are no longer providing COVID-19 testing services, effective Feb. 1, 2023.
Biocept Financial Assistance Program—is a program designed to aid those patients who have unique financial situations based upon income, expenses, or financial hardship. By completing the application process, it may be possible to reduce, or eliminate the patient’s financial responsibility for our services. For physicians and clients, please contact your representative for assistance. For patients, please contact our billing department at 888.332.7410 or simply download the application form below.
A payment plan can be arranged through our billing department at 888.332.7410.
Billing FAQs and Information
Because the billing process for healthcare services can be complex, here are answers to common questions to help you understand the procedure.
All request for services are submitted to Biocept with a written order/requisition from a healthcare provider. Once the services are provided, Biocept will prepare a bill to the individual or entity identified on the requisition form as the designated payor. If Biocept is instructed, it will submit its claim to a third-party payor (health insurance company, Medicare, Medicaid, etc.) and then wait to receive a response or Explanation of Benefits from such third-party payor indicating whether they will pay and if so how much, or whether they deny payment. If any payment is received, Biocept will apply such amounts to the patient’s bill. If any amount remains owing, Biocept will bill the patient for the remaining portion.
An Explanation of Benefits (EOB) is a notification form that your insurance company sends to you after processing a claim. An EOB is not a bill. It is only an estimate of your financial responsibility. The only time you should pay Biocept is if you receive an invoice from us.
Insurance companies may take approximately 60 to 90 days to respond to Biocept’s claims. Many times, the insurer’s response to Biocept is that additional information is needed in order to process the claim. The billing cycle may repeat itself several times as we respond to the insurer’s inquiries. Biocept attempts to collect our claims from your insurance company without involving you in the process. As a result, by the time the insurer calculates your financial responsibility and you receive an invoice from Biocept, it may be several months after the date of service.
When a physician performs a medical procedure, several healthcare providers participate. For example, a surgery center, anesthesiologist, radiologist, and pathology lab may all assist the surgeon. These independent providers bill your insurance company directly for these services. If you or your insurance company received a bill from Biocept, it is because we provided pathology lab services to your physician on your behalf.
Your physician has selected Biocept to test your cerebrospinal fluid based on our unique tests for cancer biomarkers. Your bill from Biocept usually pertains to a deductible or copayment for the service.
Biocept utilizes standard reimbursement codes that are recognized by insurance carriers and Medicare. Patients will be responsible for any deductible or co-pay outlined by their insurance plan, however Biocept does not balance bill the patient for charges beyond the reasonable and customary fees granted by the insurance provider. You doctor or other provider will bill separately for services in addition to any charge from Biocept.
If you have any questions or issues concerning coverage or medical billing with regards to your Biocept testing, please call the Biocept Customer Service Department toll free at 888.332.7410. They will resolve all relevant questions or issues in an efficient and timely manner.
Who Pays For Diagnostic Testing Services?
Biocept accepts most insurance and will bill on behalf of the patient. In addition, Biocept has a Financial Assistance Program (see Billing Policy), with payment plans available based on the patient’s financial situation. We are committed to excellence and are here to assist with any questions or concerns you may have.
Please call 888.332.7410 M-F from 8-5 PST to discuss individual claims and policies.