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This simple blood test, potentially can assess your individual risk for developing lung cancer prior to the appearance of symptoms.

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PATIENTS | FREQUENTLY ASKED QUESTIONS

Frequently Asked Questions From Providers About EarlyCDT-Lung

What is EarlyCDT–Lung?

It is a simple blood test that can aid in the risk assessment and early detection of lung cancer.

How does EarlyCDT–Lung work?

EarlyCDT–Lung is a simple blood test drawn at the physician’s office or at an off-site draw station. The sample is sent for testing to Oncimmune’s laboratory located in the Metro Kansas City area. The blood sample is analyzed on a multi–antigen panel. During the process, highly–qualified and thoroughly–trained technicians perform numerous steps to measure the presence of autoantibodies associated with tumor antigens (immuno–biomarkers). The antibodies are produced by the immune system in the earliest stages of the disease and can be used to aid in the early detection of cancer. The ordering physician will receive a comprehensive report of EarlyCDT–Lung results in about one week after receipt of sample.

Is the EarlyCDT® procedure covered by insurance?

Oncimmune will bill your insurance provider for the test if you have Medicare Part B as your primary insurance OR if you have private health insurance coverage. At the time that your blood sample is collected,  please complete the Medicare or insurance information requested on the test requisition form. For either type of coverage, please also include a legible copy (front and back) of your insurance card with the sample which is sent back to Oncimmune. If you do not have either type of insurance coverage noted above,  payment is required at the time you provide your blood sample. There is a payment envelope included in the collection kit materials provided.  Oncimmune accepts credit cards, checks, or money orders.  Financial assistance is available if you are covered under Medicaid or are uninsured.  Out-of-pocket expenses may be eligible for reimbursement if you have an employer-provided Flexible Spending Account (FSA) OR Healthcare Spending Account (HSA). You should verify the specifics of your plan if this option is available to you. Please contact Client Services at 1–888–583–9030 or email clientservices@oncimmune.com

How do I become a provider for EarlyCDT–Lung?

Contact Client Services at 1–888–583–9030 or sign up now.

When can I expect to receive the EarlyCDT–Lung results?

You can expect the test results to be sent to you in about a week of the Oncimmune laboratory receiving the sample from the draw station. Oncimmune releases test results only to the healthcare provider, not to the patient.

Are all the questions on the requisition form required to complete the test?

No. All of the information is not required; however, answering the questions honestly and completely is recommended to help us and your physician better serve you. The required fields are:

• Physician signature

• Collection site information including date and time of collection

• Dates

• Patient signature

• Medicare or Insurance information, if applicable

• Credit card information, if applicable

• Question 5 in the Clinical History section, “Have you ever been diagnosed with any type of cancer?”

Oncimmune strongly encourages patients to fill out all Patient Clinical History thoroughly.

Will the fact that I’ve taken the EarlyCDT–Lung be reported to my health insurance provider?

If you have private health insurance or if you are covered under Medicare Part B as your primary insurance, Oncimmune will file a claim to you carrier for reimbursement. We are required to supply a diagnostic code (ICD–9 Code) which is supplied by your healthcare provider and test procedure code (CPT Code) that covers the EarlyCDT–Lung test procedure. Oncimmune will provide the lab test report to the carrier only if requested by the carrier in their determination of reimbursement to us.  Otherwise, the results of the test remain confidential unless the patient agrees to share the information. Visit www.hhs.gov/ocr/hipaa for more information.

Do you accept payment arrangements?

EarlyCDT-Lung is covered by Medicare and private insurance.  Oncimmune will offer financial assistance if you are uninsured or have Medicaid.  We will accept major credit cards, a money order, personal check or cashier’s check as payment.  Please contact Client Services at 1–888–583–9030 or email clientservices@oncimmune.com for more details.

 

What is the best way to share test results with my patient?

We suggest indicating that the results are positive or negative and providing the “Understanding Your Results” page that comes with the Results Report, explaining what these results mean, and what follow–up is appropriate. Oncimmune’s medical director and/or physician staff are available for consultation or to answer any clinical questions regarding EarlyCDT–Lung results.

If an autoantibody level is negative, is there cause for concern if the level is above the minimum detectable level or approaches the cutoff value?

At this time, the data does not support such an interpretation of relative levels with respect to positivity or negativity.

Is one antigen on the test panel more relevant to disease diagnosis than another?

If one or more of the autoantibodies to a specific antigen are present at a level above the cutoff value, then the result is positive and may indicate the presence of the disease.

Why does the EarlyCDT–Lung panel contain specific autoantibodies?

The antigens in the EarlyCDT–Lung panel have been selected for their involvement in the early stages of the development of tumor formation and have been validated for the early detection of that particular cancer. Due to the heterogeneous nature of cancer, the test to detect cancer is greatly enhanced by the combination of autoantibodies.

Why should the patient be tested for lung cancer with both EarlyCDT–Lung and diagnostic imaging?

EarlyCDT–Lung is designed to be used in conjunction with diagnostic imaging which is required for localizing a potential tumor, including CT, X–ray and PET scanning. Based upon the results of these imaging tests and other tests that may be included such as sputum cytology and/or bronchoscopy, a biopsy is the only definitive diagnostic procedure to confirm the presence and stage of lung cancer.

Who should be tested for lung cancer using both EarlyCDT–Lung and diagnostic imaging?

The test should be carried out based upon your assessment of the patient, typically 40–75 years of age, having one or more of the risk factors for lung cancer. These risk factors include:

  • Long–term tobacco smokers (20 pack years) including pipe, cigar, and cigarettes including second–hand smoke
  • Long–term marijuana smokers (20 pack years) including pipe, cigar, and cigarettes including second–hand smoke
  • Prolonged exposure to chemicals such as arsenic, vinyl chloride and other known carcinogens
  • Scarring of the lungs due to tuberculosis
  • Prolonged exposure to environmental factors such as radon and asbestos
  • Recurring pneumonia and/or bronchitis
  • Shortness of breath during normal activity

If you would like to know more about lung cancer risks, please visit our website at www.oncimmune.com, the National Cancer Institute’s website at www.cancer.gov, or the American Cancer Society at www.cancer.org for more information.

What forms of payment are accepted?

The lung cancer early detection test is covered by Medicare and private insurance.  For those who are uninsured, or have Medicaid, Oncimmune will accept most major credit cards, a money order, personal or cashier’s check as payment.

Where is the sample for EarlyCDT–Lung sent for testing?

The sample is sent to Oncimmune’s CLIA–certified laboratory located in the Metro Kansas City area for testing, analysis, and reporting. Oncimmune will cover the cost of the overnight FedEx shipment and shipping materials. A collection kit will be provided with the necessary instructions and materials for shipment.

How are the patient results reported?

The test is reported to the physician as either a negative or positive result via facsimile, mail, or through the physician’s online portal. Client services will confirm with the ordering physicians office the secure method of reporting Protected Health Information (PHI). The report may come back invalid which means we were unable to determine the result for this autoantibody. All other autoantibodies remain valid. The test report will include the results for all of the measured autoantibodies.

What does a negative EarlyCDT-Lung result mean?

A negative result does not indicate the patient does not have cancer, nor does it alter the risk of the patient. A patient with a negative result should still be evaluated carefully and monitored regularly as the patient is still at high risk for lung cancer.

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