PRS helps you get a clearer picture of your patient’s risk, offering a more detailed view than just the usual factors.
Providers
The Importance of Polygenic Risk
Scores (PRS) in Clinical Practice:
Better Risk Assessment:
Tailored Prevention Plans:
By using PRS, you can create personalized prevention strategies, adjusting screening and lifestyle advice based on genetic risks.
Better Patient Outcomes:
Identifying high-risk individuals early with PRS allows for proactive care, leading to better long-term health results.
How to Use PRS
in Your Practice:
Adding PRS testing to your practice is easy. GENinCode provides a simple testing process with reliable results, making it easy to understand and discuss with your patients. Our reports are clear and provide useful insights that help guide your clinical decisions.
Recommended by
These professional groups all have guidelines or statements recognizing the important role genetic testing plays in diagnosis, risk stratification, and family screening for FH:
CDC’s Office of Public Health Genomics
American Heart Association
National Lipid Association
American College of Cardiology
European Atherosclerosis Society
International FH Foundation
National Institute for Clinical Excellence in the UK
Cardiac Society of Australia and New Zealand
How to Order
Contact us to set up an account for your clinic:
Call: +1 (949) 930-0462
Email: info-us@genincode.com
Coverage Details:
Your insurance plan may cover a portion of the cost for out-of-network lab tests.
Deductibles and Co-Insurance:
You may need to meet your out-of-network deductible before your insurance begins to cover a portion of the lab test costs. Additionally, co-insurance rates for out-of-network services can be higher than those for in-network services.
Benefits Investigation:
We conduct a benefits investigation to review your coverage and contact the patient to review cost effective options that fit within each individual’s situation.
Reach out to discuss billing options, please call 1-800-233-5889.
GENinCode is committed to making our genetic tests accessible and affordable.
What to expect:
- GENinCode’s billing partner will perform a benefits investigation for each patient.
- Each patient will be contacted to explain their coverage and payment options.
- Together, you will determine the best payment option available to move forward with testing
Billing Commitment
GENinCode’s billing partner will review each patient’s coverage and suggest how best to proceed with payment options. If appropriate, our billing team will proactively provide a pricing estimate to enable the test to move forward with testing.
WHAT IS SITAB®?
GENinCode has developed a proprietary online cloud-based system, SITAB®, to integrate patients clinical and genetic data and provide online reporting capabilities to health care practitioners.
Additional information
Most insurance plans cover genetic testing.
- Costs can vary depending on the type of insurance, whether insurance coverage criteria is met for genetic testing as identified by plan, and co-pays, deductibles, and co-insurance requirement specific to the plan.
- If testing requires prior authorization or medical necessity review, we will work with the healthcare provider and insurance to complete the process.
- When the test is complete, we will submit a claim to insurance.
- Once insurance processes this claim, an explanation of benefits (EOB) will be sent. Please note this EOB is not a bill.
Self-Pay:
If a patient is uninsured, insurance does not cover genetic testing, or a patient does not want to use insurance benefits*, we may offer self-pay pricing for testing. If interested in this self-pay option, please work with the billing specialist when they review options. LIPIDinCode is FSA/HSA eligible.
Financial Assistance Program:
Our dedicated billing specialists work with each patient to obtain a comprehensive view of their individual situation and help identify cost-effective and affordable payment options
* Please note that if you choose to use self-pay pricing, the amount paid will not contribute toward your insurance plan’s annual deductible and you cannot submit a claim to your insurance for this amount. Utilizing insurance for your testing may be the best/least cost option if you are anticipating additional healthcare expenditures this calendar year
