Financial Services | Caris Life Sciences
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Financial Services

The financial burden of cancer care can be overwhelming. Caris offers programs that provide financial flexibility to qualified patients. The Caris Financial Assistance Program can assist uninsured patients or those unable to afford associated out-of-pocket testing costs if program criteria are met.

Caris testing  is typically reimbursed by insurance providers,  Medicare and state Medicaid providers. The cost will differ among the  Caris offerings, depending on the tumor profile offered, and the number of biomarkers analyzed and technologies used. We will perform the services ordered and deemed medically necessary by a physician, regardless of our network status.


A Test is Ordered

At the time of order, all necessary health insurance information is required for every patient. Caris will file insurance claims for services provided on the patient’s behalf.


Caris Submits a Claim

If coverage is denied, Caris billing specialists will work with the insurance provider to file appeals and pursue coverage on your behalf.


Billing

Caris will bill your insurance company directly and work with them to process claims. Depending on the terms of your healthcare plan, you may receive a bill for the deductible, co-insurance, or co-payment as determined by your plan.


What is an Explanation of Benefits (EOB) and does it require further action on my part? 

Each time Caris submits a claim or an appeal to your insurance provider, the insurer will send an EOB that details the portion of the claim the insurer intends to pay. Some insurance providers will split one claim into multiple sections, which may cause you to receive more than one EOB. Even though an EOB may state an “Amount Due.,” No payment is due until you receive a Caris invoice.If you have any questions about an EOB or an invoice from Caris, please contact Patient Billing at 1.888.979.8669 or PatientBilling@CarisLS.com

What am I responsible for paying? 

Patients are financially responsible for deductibles, co-payments, and/or co-insurance according to the patient’s individual insurance plan and applicable federal and state regulations. Contact Patient Billing at 1.888.979.8669 or PatientBilling@CarisLS.com to discuss your options. 

Is prior authorization required and what happens if coverage is denied? 

Caris  will conduct any prior authorizations required by the patient’s insurance plan, and Caris will appeal all prior authorizations or claims that are denied. For questions, please contact Patient Billing at 1.888.979.8669 or PatientBilling@CarisLS.com.

How do I file a secondary or supplemental insurance claim? 

Caris will file all secondary or supplemental insurance claims on your behalf. If you receive a bill and believe that a secondary claim has not been filed, contact Patient Billing at 1.888.979.8669 or PatientBilling@CarisLS.com.

What happens if I cannot afford to pay for molecular profiling? 

We understand the financial burden of cancer care can be overwhelming at times. We have financial assistance programs that provide added flexibility for qualified patients. Contact Patient Billing at 1.888.979.8669 or PatientBilling@CarisLS.comto learn more about these programs.

Can I pay my bill online?

Yes, you may pay your bill online.

Who can I contact if I have additional billing questions?

Patient Billing specialists are available to answer any questions you might have, at 1.888.979.8669 or PatientBilling@CarisLS.com. Please have your account number (found on your bill) and insurance policy number (located on your insurance card) available for all billing inquiries.

What happens if my insurance pays me directly for the testing?

If you receive a reimbursement check directly from your insurance provider, please forward those funds directly to Caris for the services we performed.

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Have you or a loved one received molecular profiling from Caris? If so, we’d love to hear about your cancer journey and how molecular profiling played a role. Your story may provide strength and support to others who are battling cancer. 

Are you looking for an oncologist with expertise in molecular profiling? Caris maintains a database of physicians who have previously ordered Caris molecular profiling. 

We remain focused on the most important part of our work – the patient. Hear from those who courageously share their cancer journey including Caris molecular profiling, offering valuable insights and perspectives that go beyond the statistics and outcomes.

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