THE BIOLOGY OF HPV+ CANCER

Engineered into a Blood Test.

We are committed to making NavDx® testing as accessible and financially straightforward as possible.

We support this commitment by working with patients and Providers to:

  • Verify the correct insurance
  • Submit prior authorizations when possible
  • Submit claims and appeals to your health insurance plan, when needed
  • Help interpret the Explanation of Benefits (EOB) that you will receive from your insurance plan
  • Administer financial assistance support programs

Insurance Coverage.

Commercial Health plans
NavDx® testing is covered by a growing number of commercial insurance companies. Coverage depends on the health insurance company and plan type. Not sure if your plan covers NavDx testing? Contact our Patient Insurance Support Team at billing@naveris.com or (833) 628-3747. We can help verify coverage before billing, so you won’t receive an unexpected bill.

Medicare
NavDx testing is covered under Medicare when test-specific medical necessity criteria are met, so eligible fee-for-service beneficiaries typically have $0 out-of-pocket cost.

Medicare Coverage: What Qualifies
Medicare covers serial NavDx testing for post-treatment surveillance of recurrence in patients who: 1. Have a documented history of HPV+ oropharyngeal or HPV+ anal squamous cell carcinoma, and 2. Currently have no evidence of disease. Coverage begins one day following surgery or seven days following completion of chemotherapy, radiation therapy, and/or immunotherapy.

Uninsured or Underinsured
If you do not have insurance, our Patient Insurance Support Team will work with you directly to help evaluate your situation and options, including our Naveris Cares™ financial assistance program. Many uninsured patients qualify for assistance through the Naveris Cares™ program.

space saver for image showing cms cadence for ASCC and OPSCC testing

Payment Options.

Online Payment Portal

Pay your insurance-related costs (copay, coinsurance, and/or deductible) for the NavDx test using our secure, HIPAA-compliant online payment portal. We accept major credit and debit cards and electronic checks. If you have questions about your statement before paying, contact our Billing Team at billing@naveris.com or (833) 628-3747. Go to Payment Portal→

 

Financial Assistance

Naveris is committed to ensuring the cost of NavDx testing is not a barrier. You are only financially responsible for your insurance plan-associated costs for the NavDx test, such as copays, coinsurance, or deductibles.

Naveris Cares™ is a patient-assistance program that helps eligible patients access NavDx testing by covering some or all out-of-pocket costs—such as coinsurance and deductibles—so that cost is never a barrier to care. Eligibility for Naveris Cares™ is determined case-by-case based on each patient’s financial situation, prioritizing those experiencing financial hardship. Download the Naveris Cares™Application

 

We’re Here to Help

Our team is committed to providing the support you need during each step of the process. If you have any questions about insurance coverage or billing policies, please contact our Patient Insurance Support Team via phone at 833-628-3747 or by emailing billing@naveris.com.

For Healthcare Providers.

The NavDx test has a dedicated Proprietary Laboratory Analysis (PLA) code: 0356U. Use this code when submitting claims to insurance. For full coding details, visit our Billing FAQ.

Billing Process.

Here’s what happens after your Provider orders a NavDx test:

1

Your Provider Orders a Test

We check your insurance coverage and, when necessary, we will work with your Provider’s office to submit prior authorization to your insurance company.
2

Once Testing is Complete, We Bill Your Insurance

Your insurance company will send you an Explanation of Benefits (EOB) once they review and make a decision about your test. An EOB is not a bill. Your insurance company will determine if you owe any out-of-pocket costs, and this should be detailed in the EOB.
3

Appeal a Denial on Your Behalf

If your claim is denied, we will attempt to appeal that decision. We may need your help with the appeal with a signed consent or “authorized representative form.” If you receive one, please complete it, and send it back to us. Appeals processes can sometimes take several months. You may receive multiple EOBs and coverage status letters from your insurance provider during this process.
4

Patient Responsibility

If your test is covered by your health plan, you may be responsible for any out-of-pocket expense due to patient responsibility (copay, deductible, coinsurance) as determined by your health plan. Naveris will send you an invoice if that occurs. You are only financially responsible for your insurance plan-associated costs for the NavDx test, such as copays, coinsurance, or deductibles.