Guest guest Posted August 20, 2009 Report Share Posted August 20, 2009 Hi Nanci, If you have BCBS PPO insurance, they will pay for all Great Plains testing. For other insurance, you pay a 20% co-pay and then Great Plains will file the balance with your insurance company and bill you for anything that is unpaid. Your regular pediatrician will likely not know anything about this testing or believe the results (at least that is what we have found). Great Plains will give you a list of doctors in your area who are willing to sign the test requisition in the event that your ped. will not. You can order the tests kits for free through the Great Plains website. Do you have a DAN? Your DAN will certainly sign the test requisition, ours carries all of the test kits in her office. Hope that helps, > > Are the CDSA (comprehensive stool) and OAT (Organic Acid Test) standard tests that a pediatrician can order? Will insurance typically cover? Or is it better to go through one of the labs that I can order myself? > Is one test more informative than the other? > > This is for my NT 5 yo daughter, whom I suspect has a yeast issue. > > Thanks in advance, > > Nanci > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 20, 2009 Report Share Posted August 20, 2009 Thanks, . That is good to know. We do have Regence Blue Cross. I may give them a call. I figured my pediatrician might not know, although he is very willing to be educated (that's a real blessing) We are starting with a DAN! in September. That is the first appt we could get. I will definitely bring it up. Thanks so much! Nanci > > > > Are the CDSA (comprehensive stool) and OAT (Organic Acid Test) standard tests that a pediatrician can order? Will insurance typically cover? Or is it better to go through one of the labs that I can order myself? > > Is one test more informative than the other? > > > > This is for my NT 5 yo daughter, whom I suspect has a yeast issue. > > > > Thanks in advance, > > > > Nanci > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 20, 2009 Report Share Posted August 20, 2009 Can you tell me which one is the best one to order? http://www.nbnus.com/testkits/index.php?cPath=1 & sort=2a & page=2 And why don't they list the prices when you put them in the cart? Nanci > > > > Are the CDSA (comprehensive stool) and OAT (Organic Acid Test) standard tests that a pediatrician can order? Will insurance typically cover? Or is it better to go through one of the labs that I can order myself? > > Is one test more informative than the other? > > > > This is for my NT 5 yo daughter, whom I suspect has a yeast issue. > > > > Thanks in advance, > > > > Nanci > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 20, 2009 Report Share Posted August 20, 2009 Nanci, Comprehensive Stool and the Organic Acid tests are great starting points. This will let you know the pathogen load in the gut, fecal IgA, gut inflammatory markers, markers for digestion, " good " bacteria levels etc. The OAT will tell you info on yeast/bacteria metabolites in the urine, oxalates, Krebs and Citric Acid cycles, neurotransmitter imbalances, vitamin levels, toxic indicators etc. These are 2 of the first tests our DAN ran when we started Biomed 2 1/2 years ago and I still run them every 2 months. Other really good tests from GPL are: Urine Amino Acids Glutithione RBC's (tests for mineral and toxic elements in the red blood cells) Advanced Cholesterol (to test for enzyme deficiency and low cholesterol) UTM (urine toxic metals) IgG Food Allergy IgE Inhalent and Food Allergy I test like crazy with them because they are a BCBS PPO contracted lab and therefore all tests are free for us. Is your BCBS plan a PPO? That makes a big difference in coverage. The tests kits are completely free for you to order. Just add them to your cart and shipping is free too. Here is the pricing to have the tests run. List price is the price they use to bill insurance. Cash price is if you have to pay yourself (no insurance) http://www.nbnus.com/testkits/conditions.php Hope that helps! > > > > > > Are the CDSA (comprehensive stool) and OAT (Organic Acid Test) standard tests that a pediatrician can order? Will insurance typically cover? Or is it better to go through one of the labs that I can order myself? > > > Is one test more informative than the other? > > > > > > This is for my NT 5 yo daughter, whom I suspect has a yeast issue. > > > > > > Thanks in advance, > > > > > > Nanci > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 20, 2009 Report Share Posted August 20, 2009 This is almost too good to be true! We do have Regence Blue Cross PPO! This would be for my NT daughter. Does insurance still cover if she is not being seen by a pediatrician for this? Your insurance even covers the IgG? Wow! We've been trying to decide whether to get this because we didn't have the extra $250 to do this for my ASD son. Nanci > > > > > > > > Are the CDSA (comprehensive stool) and OAT (Organic Acid Test) standard tests that a pediatrician can order? Will insurance typically cover? Or is it better to go through one of the labs that I can order myself? > > > > Is one test more informative than the other? > > > > > > > > This is for my NT 5 yo daughter, whom I suspect has a yeast issue. > > > > > > > > Thanks in advance, > > > > > > > > Nanci > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 20, 2009 Report Share Posted August 20, 2009 One more question- will probiotics interfere with the results? Do you have to stop them a few weeks before? Nanci > > > > > > > > Are the CDSA (comprehensive stool) and OAT (Organic Acid Test) standard tests that a pediatrician can order? Will insurance typically cover? Or is it better to go through one of the labs that I can order myself? > > > > Is one test more informative than the other? > > > > > > > > This is for my NT 5 yo daughter, whom I suspect has a yeast issue. > > > > > > > > Thanks in advance, > > > > > > > > Nanci > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2009 Report Share Posted August 21, 2009 Nanci, Our ins. is also a PPO with BCBS and we have to pay a portion of the tests. The full OAT is $220 (i think) and after insurance pays, our part is about 50 dollars. A great test and a great price, but they definately don't cover it in full for us! Just so you wont be shocked when the bill comes in. ) > > > > > > > > > > Are the CDSA (comprehensive stool) and OAT (Organic Acid Test) standard tests that a pediatrician can order? Will insurance typically cover? Or is it better to go through one of the labs that I can order myself? > > > > > Is one test more informative than the other? > > > > > > > > > > This is for my NT 5 yo daughter, whom I suspect has a yeast issue. > > > > > > > > > > Thanks in advance, > > > > > > > > > > Nanci > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2009 Report Share Posted August 21, 2009 Thanks for letting me know. Will Great Plains give the info over the phone of the testing codes so I can call my insurance and ask what they cover? I would be glad if we only had to pay $50 and they covered the rest! Nanci > > > > > > > > > > > > Are the CDSA (comprehensive stool) and OAT (Organic Acid Test) standard tests that a pediatrician can order? Will insurance typically cover? Or is it better to go through one of the labs that I can order myself? > > > > > > Is one test more informative than the other? > > > > > > > > > > > > This is for my NT 5 yo daughter, whom I suspect has a yeast issue. > > > > > > > > > > > > Thanks in advance, > > > > > > > > > > > > Nanci > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2009 Report Share Posted August 21, 2009 -Hi , Check your plan to see if you still have some sort of co-pay. As long as you get a doctor to sign the test requisition and you use a valid ICD code (Dx code). We use 112.85 which is candidal enteritis. I use that code for both OAT and stool. Our DAN is clearly not an in-network physician, but the lab is so it is covered. Again, this is how it is for us. Somebody else posted that they pay a small portion even with BCBS PPO. The IgG Food Allergy test is vey tricky and not every BCBS plan will pay for it. I did some searching around and found that my plan will only cover if the ICD 9 code is part of an immune system workup. So we use 279.9 for immune dysfunction on the rest req. Great Plains makes everyone pay the cash price of $218 up front for this test, then they file with your insurance. I just got my refund check back yesterday after BCBS paid. If you are considering running this test, call your plan and ask if they cover the CPT-DX combo of 86001*93 and 279.9. Sometimes things get denied because the Dx code (ICD) is not a match with the CPT code that was submitted. You will definately want to check this out first. Good luck! -- In mb12 valtrex , " smiths4him " wrote: > > This is almost too good to be true! We do have Regence Blue Cross PPO! > > This would be for my NT daughter. Does insurance still cover if she is not being seen by a pediatrician for this? > > Your insurance even covers the IgG? Wow! We've been trying to decide whether to get this because we didn't have the extra $250 to do this for my ASD son. > > Nanci > > > > > > > > > > > > Are the CDSA (comprehensive stool) and OAT (Organic Acid Test) standard tests that a pediatrician can order? Will insurance typically cover? Or is it better to go through one of the labs that I can order myself? > > > > > Is one test more informative than the other? > > > > > > > > > > This is for my NT 5 yo daughter, whom I suspect has a yeast issue. > > > > > > > > > > Thanks in advance, > > > > > > > > > > Nanci > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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