Practitioner Pay
Choose this Option:
If you are a practitioner who plans to pay MosaicDX directly for testing and collect reimbursement directly from your patients.
How it Works:
For office inventory: Submit payment information for your testing upfront, charges applied after the sample is received at our lab.
For drop ship to patients: Submit payment information for your testing upfront, charges applied when the order is placed.
An order statement containing pricing before any adjustments will be provided.
Multi-Test Discount:
Every MosaicDX test is eligible for the multi-test discount. For 2 tests placed for the same patient at the same time, a 10% discount will be applied to the total cost of both tests; for 3 tests, a 15% discount will be applied; and for 4 tests or more, a 20% discount.
2 Tests Ordered
10% off total cost
3 Tests Ordered
15% off total cost
4+ Tests Ordered
20% off total cost
Geographic availability: All USA except NJ, NY and RI.
Eligible testing: All
Patient Pay
Choose this Option:
If you are a patient who plans to pay for testing yourself, you have the option to make a direct payment to MosaicDX.
MosaicDX tests are eligible for HSA and FSA.
How it Works:
After your practitioner has initiated the order, you’ll provide payment information during kit registration. The charge will be processed either before your kit is shipped to you or, if you already have your kit, when your sample arrives at the lab.
Multi-Test Discount:
Every MosaicDX test is eligible for the multi-test discount. For 2 tests placed for the same patient at the same time, a 10% discount will be applied to the total cost of both tests; for 3 tests, a 15% discount will be applied; and for 4 tests or more, a 20% discount
2 Tests Ordered
10% off total cost
3 Tests Ordered
15% off total cost
4+ Tests Ordered
20% off total cost
Geographic availability: All USA except NY state
Eligible testing: All
Insurance Billing
Choose this Option:
If you are a patient paying out-of-pocket for testing and choosing to file an insurance claim using payment receipt.
MosaicDX testing is HSA and FSA eligible.
Authorizing practitioners must have an NPI for insurance to be filed.
- Insurance is filed in the state where the referring practitioner’s NPI
is registered or located.
How it works:
Patients makes payment for testing amount plus a $40 filing fee.
- A single $40 filing fee would be applicable for multiple samples received from the patient on the same day.
- Samples received and filed on separate claims would each be subject to separate $40 filing fees.
If the patient’s test is covered by their insurance, any reimbursement will be sent directly to the patient from their insurance carrier.
- By filing a claim, MosaicDX is not guaranteeing reimbursement
- A single $40 filing fee would be applicable for multiple samples received from the patient on the same day
Geographic availability: Please refer to insurance details section below for specific state plan limitations.
Eligible testing: Not all testing can be filed through insurance. Please refer to the insurance details below for specific limitations.
Insurance Options
Verify your expenses with your insurance company and determine if your plan is considered in-network to help calculate your out-of-pocket expenses. For any questions regarding insurance coverage, please call 913-341-8949 or 913-754-0459.
- By filing a claim, MosaicDX is not guaranteeing insurance coverage
- Always call your insurance provider to confirm benefits as insurance coverage is subject to change
- BCBS insurance is filed in the state where the referring physician’s NPI is registered, or where the referring physician’s NPI is located
- We require full patient cash price payment up-front PLUS a $40 filing fee per claim to be submitted along with the sample.
Plans and Tests Not Covered – cash pay required
MosaicDX will NOT file a claim with these insurance plans:
- Blue Cross Blue Shield of: CA (XEH), FL, HI, IA, KS, LA, MS, MT, NE, NJ, NY, SD, and Capital Blue Cross (PA)
- Anthem CA: Silver Direct Access Plan, Writers Guild, Directors Guild, Actors Guild
- Empire BCBS (NY)
- Capital Blue Cross (PA)
- Aetna (all plans)
- All Savers
- Avmed
- GEHA
- Harvard Pilgrim
- HMO plans
- Horizon of New Jersey
- Medicaid
- Medicare
- Medicare Advantage
- ODS / Moda
- Select Health
- Regence Uniform
- Tricare
- Tufts
- UMR
- UHC of the River Valley
- Veterans Health Adm.
Mosaic Diagnostics is not a participating provider in Medicare, Medicare Advantage, Medicaid, Medicaid Managed Care, Tricare or other government health benefit programs or plans. I understand if Medicare, Medicare Advantage, Medicaid, Medicaid Managed Care, Tricare or other government health benefit programs or plans are my primary insurance carrier, I will be considered “self-pay” and agree I will not submit my claim to my insurance.
These tests are NOT covered by ANY insurance plan
- GPL-TOX Profile
- MycoTOX Profile
- Amino Acids Test (Plasma or Urine)
- Calcium + Magnesium Test
- DNA Methylation Pathway Profile
- Glyphosate Test
- Homocysteine Test
- Iron + Total Iron-Binding Capacity Test (TIBC)
- Kryptopyrrole Test
- Omega-3 Index Complete
- Porphyrins Profile
Restrictions – cash pay required
MosaicDX will NOT file claims for these tests to these insurance plans
Comprehensive Stool Analysis
- Cigna
- BCBS Illinois, Kansas City, Federal Employee Program
IgG Food MAP
- Anthem BCBS California, Indiana, Virginia
- Blue Cross Blue Shield CO, IL, MA, NC, PA, SC, TX, VT, WV, KC,
- Federal
- Blue Shield of California
- Horizon of New Jersey
All Metals Testing
- BCBS KC/Federal Employee Program
All Hormones Profiles
- BCBS KC/Federal Employee Program
CPT Codes are also known as procedure codes and are how insurance will determine the nature of the test.
Pricing
Patient Pricing: For pricing information on our laboratory testing, reach out to your healthcare provider. If you don’t have a practitioner, contact our customer service team and they can connect you with one in your area.
North American and Canada Practitioner Pricing: Contact us at sales@mosaicdx.com
Acceptable Payment Methods
Payment must accompany all specimens for processing.
- All major credit cards including Visa, Master Card, Discover, American Express, JCB, and Diners Club
- Health Saving Accounts (HSA) and Flexible Spending Accounts (FSA) with Visa, Mastercard, Discover or American Express
- Check or Money Order
- Wire Transfer
Cancellation Policy
At MosaicDX, our commitment is to provide efficient and accurate testing services to our clients. We understand that circumstances may necessitate test cancellations, and to facilitate a streamlined process, we have established the following cancellation policy:
To request the cancellation of any test(s), notification must be provided to MosaicDX by the ordering practitioner, patient, or parent/guardian.
Initiating Cancellation and Acceptable Timeframes
For cancellation requests submitted more than 24 hours after the laboratory received the specimen, no refund will be made.
When Specimen has not shipped to MosaicDX
Practitioners and patients can cancel an unpaid test order before it has shipped to MosaicDX through their portal login.
Practitioners and patients can cancel a test order before it has shipped to MosaicDX through their portal login, or by using this cancellation form. A refund will be issued, deducting a $35 cancellation fee.
If you cancel an international order, we will deduct $35 for the cancellation fee and 50% of the shipping costs from your refund.
When Specimen has shipped to MosaicDX
Cancellations of specimens that have shipped to Mosaic will be accepted only if requested through this cancellation form and within 24 hours of the laboratory receiving the specimen. It is crucial to note that our testing process commences promptly upon specimen receipt. Upon approval of the cancellation, a refund will be issued, deducting a $75 cancellation fee.
If you cancel an international order, we will deduct $75 for the cancellation fee and the shipping costs from your refund.
Refund Approval and Processing
Upon receiving and reviewing the refund request, our team will evaluate eligibility according to the policy guidelines. If the request aligns with the policy criteria, the refund will be processed within 7 days of the approval date and confirmation will be sent to the requesting party or designated contact. Refunds will be issued using the original payment method unless otherwise specified or agreed upon.
Policy Acknowledgment
By utilizing MosaicDX’s services and submitting specimen(s) for testing, clients, practitioners, patients, and/or parent/guardians acknowledge their understanding and agreement to adhere to this cancellation policy.