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Questions About Billing
Scipher Medicine is committed to making testing more accessible and affordable for you and all patients.

Carrying the financial load of a chronic condition like rheumatoid arthritis can be stressful. As part of your care team, Scipher Medicine® is dedicated to ensuring that every rheumatoid arthritis patient has access to the best possible treatment. The PrismRA® molecular signature test helps you and your doctor identify the best medicine for your rheumatoid arthritis treatment.

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What are the steps to getting PrismRA testing and how does payment work?

1

A Test is Ordered

Your doctor will provide us with your insurance information, if available, when your test is ordered. Scipher Medicine will file insurance claims for the services provided.

2

Scipher Submits a Claim

If your insurance denies coverage, Scipher’s billing specialists will work with the insurance provider to file appeals and pursue coverage on your behalf.

3

Billing

Scipher will bill your insurance company, if applicable, and work with them to process claims. We are committed to never sending a surprise bill and have a Financial Assistance Program for qualifying patients.

Frequently asked
questions

You will receive an Explanation of Benefits (EOB) from your insurance plan after Scipher submits a claim for PrismRA testing. Please note this is NOT a bill. The EOB is a notice from your insurance plan indicating how it has processed the claim.

If your insurance claim is denied, with your consent, our team will work directly with your insurance provider and ordering physician to try and obtain coverage. We will appeal the claim to help minimize any financial burden. Our goal is to help you get access to our testing at the most reasonable and fair rate possible.

Please call us at (844) 577-0935 or email ScipherBilling@quadax.com with any questions.

We promise to not send a surprise bill to you or any patient. We estimate most patients will pay $125 or less per PrismRA test.

Prior to submitting a claim to your insurance, we will estimate your financial responsibility. If we anticipate your bill to be larger than $125, you will receive a call from us to discuss the situation before we perform your PrismRA testing. This will help avoid unexpected bills.

Please call us at (844) 577-0935 or email ScipherBilling@quadax.com with any questions.

Our financial assistance program has been designed to provide you with flexible financing options. We also assist qualifying patients who may not be able to afford out-of-pocket costs associated with our molecular signature test.

Scipher Medicine will perform the services ordered and deemed medically necessary by your physician, regardless of your financial situation. Our financial assistance program is based on federal poverty guidelines and the qualification details are unique to each patient’s individual circumstances.

Please call us at (844) 577-0935 or email ScipherBilling@quadax.com with any questions.

If you have any questions, please call us. We are happy to help!

Contact (844) 577-0935 or email ScipherBilling@quadax.com with any questions. Do not call your doctor, as only Scipher specialists will be able to assist you with insurance inquiries.