Patient Billing FAQs for ColoSense
Test Eligibility
Who is eligible for ColoSense?
ColoSense is indicated as a screening test for adults, 45 years of age or older, who are at typical average risk for developing colorectal cancer(CRC). ColoSense is not a replacement for diagnostic colonoscopy or surveillance colonoscopy in individuals at high risk of CRC.
Billing and Payment Information
Insurance
What Insurance does Geneoscopy accept?
Currently, we accept all insurance plans.
Will Geneoscopy file claims to my insurance company on my behalf?
Yes. Geneoscopy will file a claim directly with your insurance. If you are eligible for screening based on intended use and national guidelines, you should not be required to pay anything. You may receive an Explanation of Benefits (EOB) from your insurance, but Geneoscopy will not bill you for any remaining balance related to the test, unless you are enrolled in a Medicare Advantage plan and that plan imposes a cost sharing amount.
Will insurance cover the cost of this test?
Yes. If you are eligible for screening based on the intended use and national guidelines, your insurance should cover the full cost of the test. Geneoscopy will file the claim for you, and you should not receive a bill. You may get an Explanation of Benefits (EOB), but this is not a bill, and Geneoscopy will not charge you for any remaining balance, unless you are enrolled in a Medicare Advantage plan and that plan imposes a cost sharing amount.
What if I don’t have health insurance?
If you do not have insurance, you are eligible for the self-pay rate of $508.87. Payment for the test must be received before the test kit will be shipped to you. Financial assistance is available for those who qualify.
How much does this test cost if I have insurance?
- Pre-CMS National Coverage Determination (NCD): If you have insurance and are indicated for ColoSense, you will not receive a bill, unless you are enrolled in a Medicare Advantage plan and that plan imposes a cost sharing amount. ColoSense is an FDA-approved test and is included in national health guidelines. Because it is used for colorectal cancer screening, Geneoscopy follows the precedent that says patients should not have to pay anything out of pocket. Geneoscopy adheres to these guidelines and does not charge patients for services, unless a patient is enrolled in a Medicare Advantage plan and that plan imposes a cost sharing amount.
If you are using ColoSense for a purpose other than the indicated use, you may be responsible for the self-pay cost of the test. The out-of-pocket cost will depend on your individual insurance plan.
- Post-CMS National Coverage Determination (NCD): If you have insurance and are indicated for ColoSense, you will not receive a bill, unless you are enrolled in a Medicare Advantage plan and that plan imposes a cost sharing amount. ColoSense is approved by the FDA, included in national health guidelines, and is now covered by Medicare. Because this test is used to screen for colorectal cancer, Medicare and other national guidelines stipulate that patients should not have to pay anything. Geneoscopy adheres to these guidelines and does not charge patients for services, unless you are enrolled in a Medicare Advantage plan and your Medicare Advantage plan imposes a cost sharing amount.
If you are using ColoSense for a purpose other than the indicated use, you may be responsible for the self-pay cost of the test. The out-of-pocket cost will depend on your individual insurance plan.
How long will my insurance company take to process a claim?
It typically takes 4-6 weeks for an insurance company to process a claim.
How does billing work with multiple insurance plans?
Claims are filed with your primary insurance first. Any remaining balance will then be filed to your secondary insurance plan, unless you have secondary insurance through fee-for-service Medicare, in which Geneoscopy will accept the primary insurance reimbursement as payment in full. If you receive a bill before you receive secondary EOB, contact Patient Billing at 800-305-8299
How can I determine if my insurance company has paid a claim?
Check your bill for line-item adjustments or consult your insurer. You may also contact Geneoscopy Patient Billing.
My insurance didn’t pay a claim—who do I contact?
Refer to your Explanation of Benefits (EOB) for specific denial information from your insurance plan. For detailed questions on why a claim was denied, contact your insurance carrier. If you receive an EOB that states you may owe money for ColoSense but do not receive a bill from Genoscopy, you do not owe any money for the test. For other questions regarding what you may owe or how Geneoscopy’s insurance appeal process works, please contact Patient Billing at 800-305-8299.
I received an EOB that says I may owe money for this test. What should I do?
Pre-National Coverage Determination (NCD): ColoSense is an FDA-approved test and is included in national health guidelines. Because it is used for colorectal cancer screening, Geneoscopy follows the precedent that says patients should not have to pay anything out of pocket. Geneoscopy adheres to these guidelines and does not charge patients for services, unless a patient is enrolled in a Medicare Advantage plan and the Medicare Advantage plan imposes a cost sharing amount.
If you receive an EOB that states you may owe money for ColoSense but do not receive a bill from Genoscopy, you do not owe any money for the test.
Post-National Coverage Determination (NCD): If you have insurance and are indicated for ColoSense, you will not receive a bill, unless you are enrolled in a Medicare Advantage plan and your Medicare Advantage plan imposes a cost sharing amount. ColoSense is approved by the FDA, included in national health guidelines, and is now covered by Medicare. Because this test is used to screen for colorectal cancer, Medicare and other national guidelines stipulate that patients should not have to pay anything. Geneoscopy adheres to these guidelines and does not charge patients for services, unless a patient is enrolled in a Medicare Advantage plan and the Medicare Advantage plan imposes a cost sharing amount.
If you receive an EOB that states you may owe money for ColoSense but do not receive a bill from Genoscopy, you do not owe any money for the test.
I received a check from my insurance company. What do I do with it?
If Geneoscopy is out of network with your insurance company, your insurance may send payment for the test directly to you. If this happens, you are responsible for remitting that payment to Geneoscopy to cover the cost of your test.
Payment
What methods of payment does Geneoscopy accept?
Methods of Payment Accepted: We accept money orders, personal checks, and all major credit cards.
How can I make a payment?
If you receive a bill from Geneoscopy, you may make a payment using one of the following methods:
- Website: Visit the Bill Pay section, available 24/7.
- Phone: Call Patient Billing at 800-305-8299
- Mail: Send your payment to the address shown on your bill (include the stub and your 8-digit invoice number if paying by check).
What are Geneoscopy Patient Billing hours of operation?
Patient Billing is available by phone Monday–Friday, 8 AM to 5 PM CT.
Who should I contact for billing questions?
For billing questions, contact Patient Billing at 800-305-8299.
Financial Assistance
Who is eligible for financial assistance?
Patients with no insurance are eligible to apply for financial assistance. Patients with insurance who meet the screening eligibility criteria will have no out-of-pocket cost unless the patient is enrolled in a Medicare Advantage plan and that plan imposes a cost sharing amount. Financial assistance approval is dependent on the patient’s income information.
How do I apply for financial assistance?
If you do not have health insurance and cannot afford to pay for your test, we can help.
Here’s what to do:
- Call us at 800-305-8299 to request the financial assistance form
- Fill it out – Write down your name, income, and how many people live in your home.
- Send it back – You can mail it or email it to us at financialassistance@geneoscopy.com. We will tell you where to send it.
- Wait for a letter – We will review your form and let you know if we can assist you. This usually takes about a week.
What do I need to apply for financial assistance?
To ask for help paying for your test, you will need:
- A photo ID – like a driver’s license or passport
- The application – we will give you a form to fill out with your name, income, and family size
We will attempt to verify your income using a trusted service, so you may not need to submit additional documents. However, we may occasionally request proof of income, such as a pay stub or tax form, if we cannot verify it through other means.
If you have questions, call us at 800-305-8299. We’re happy to help!
Provider Billing FAQs
Test Eligibility
Who is eligible for ColoSense?
ColoSense is FDA-approved for average-risk adults aged 45 and older who are eligible for colorectal cancer (CRC) screening. It is not appropriate for patients at high risk for CRC or for diagnostic or surveillance purposes following previous findings (e.g., polyps or cancer). Providers should ensure the patient meets the indicated use criteria before ordering.
Billing and Payment Information
Insurance
Which insurance plans does Geneoscopy accept?
Geneoscopy accepts all major commercial insurance plans and Medicare. The test is billed directly to the patient’s insurance.
Will Geneoscopy file claims on behalf of the patient?
Yes. Geneoscopy files claims directly with the patient’s insurance. If the patient meets the FDA-indicated use and national CRC screening guidelines, they should not incur any costs. Patients may receive an Explanation of Benefits (EOB), but Geneoscopy will not balance bill.
Will insurance cover the test?
If the patient is eligible for CRC screening according to FDA indication for use and guidelines (e.g., USPSTF, NCCN), insurance should cover the test with no patient cost-sharing. Geneoscopy adheres to these policies and is working with payers to ensure appropriate adjudication.
What if the patient is uninsured?
Uninsured patients may access the self-pay rate of $508.87, payable prior to kit shipment. Financial assistance is available for qualified patients.
How much will the patient pay if they have insurance?
- Pre-NCD: Eligible patients will not be billed. ColoSense is an FDA-approved test and is included in national health guidelines. Because it is used for colorectal cancer screening, Geneoscopy follows the precedent that says patients should not have to pay anything out of pocket. Geneoscopy adheres to these guidelines and does not charge patients for services, unless a patient is enrolled in a Medicare Advantage plan and the Medicare Advantage plan imposes a cost sharing amount.
- Post-NCD: Eligible patients will not be billed. ColoSense is approved by the FDA, included in national health guidelines, and is now covered by Medicare. Because this test is used to screen for colorectal cancer, Medicare and other national guidelines stipulate that patients should not incur any out-of-pocket expenses. Geneoscopy adheres to these guidelines and does not charge patients for services, unless a patient is enrolled in a Medicare Advantage plan and the Medicare Advantage plan imposes a cost sharing amount.
Patients using ColoSense outside its indicated use may be responsible for the self-pay rate, depending on their plan.
How long does insurance claim processing take?
Most claims are processed within 4–6 weeks.
How are multiple insurance plans handled?
Claims are submitted to the patient’s primary insurance first. If applicable, secondary insurance is billed next, unless the patient has secondary insurance through Medicare in which case Geneoscopy will accept the primary insurance reimbursement as payment in full. Patients should contact billing support if they receive a statement before secondary insurance has been processed.
How can patients confirm whether their claim was paid?
They should check their EOBs or contact their insurance plan directly. Geneoscopy Patient Billing can also assist.
What if the patient receives an EOB saying they owe money?
This is common and does not mean the patient owes anything. Unless Geneoscopy sends an actual bill, the patient should disregard the EOB balance. Geneoscopy does not balance bill for covered preventive screening services.
What if the patient’s insurance denies the claim?
Patients should review their Explanation of Benefits (EOB) for the denial reason and contact their insurance plan for additional details. Geneoscopy will automatically initiate an appeal on the patient’s behalf if the test was used for colorectal cancer screening and was denied in error. Patients do not need to take any action unless specifically contacted by our billing team for more information. For questions or support, patients can call Geneoscopy Patient Billing at 800-305-8299.
What if the patient receives a check from their insurance company?
If Geneoscopy is out-of-network with the plan, the insurer may send the test payment directly to the patient. The patient is then responsible for remitting that payment to Geneoscopy to cover the cost of the test.
Payments
What forms of payment does Geneoscopy accept?
- All major credit cards
- Personal checks
- Money orders
How can patients make a payment?
- Online: Through Geneoscopy’s Bill Pay portal
- Phone: Call 800-305-8299
- Mail: Include payment stub and invoice number if paying by check
Billing support hours:
Monday–Friday, 8 AM – 5 PM CT
Financial Assistance
Who is eligible for financial assistance?
Uninsured patients may apply for financial assistance. For insured patients, Geneoscopy does not collect cost-sharing when the test is used for screening per FDA/national guidelines.
How can patients apply?
- Call us at 800-305-8299 to request the financial assistance form
- Submit name, household size, and income
- Return via mail or email
- Response typically provided within one week
What documents are needed?
- Valid photo ID
- Completed application
Income verification may be required if not auto-validated (e.g., recent pay stub or tax return)
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