First Time Patient?

Things to know for first time patients

• Medical Release Form

• Patient Profile

• Privacy Consent

• Adult Health History

• Pediatric Health History (For ages 17 & below)

• Notice Of Privacy Practices

To review our financial policies you can download it HERE

Accepted Insurance Carriers

Aetna | Blue Cross/Blue Shield | Cigna | First Choice Health Network | Kaiser Permanente (Options Plan) | Lifewise | Premera Blue Cross | Regence Blue Shield | Uniform Medical Plan | United HealthCare

Getting the Most from Your Medical Insurance

Ask these simple questions to help you get the most out of your insurance benefits.

Billing Contracted Insurance

As a courtesy, we will bill all insurance carriers. Co-payments are due at the time of service. We will await payment from contracted carriers before balance billing. Your statement will reflect any processing of the claim(s). Statement patient totals will reflect the amount currently outstanding and are the patient responsibility. All patient balances are due and payable within 25 days of your first statement unless you arrange an extended payment plan with our billing department. A $10.00 rebilling fee may be added to overdue accounts. Returned NSF checks will be charged a $35.00 handling fee.

Billing Non-Contracted Insurance

As a courtesy, we will bill all insurance carriers. Co-payments are due at the time of service. If we are submitting a courtesy bill to a non-contracted insurance carrier, we will wait 60-days for the claim to be processed before we send out a patient statement. Patient statements will reflect the amount currently outstanding and are the patient’s responsibility. All patient balances are due within 25 days of your first statement unless you have pre-arranged an extended payment plan with our billing department. A $10.00 rebilling fee may be added to overdue accounts. Returned NSF checks will be charged a $35.00 handling fee.

Private Pay

If you do not have medical insurance, we require a minimum of $200.00 at your visit. We offer a 30% discount of the charges if paid in full at the time of service. All balances are due and payable within 25 days of your first statement, unless you have arranged an extended payment plan with our billing department. A $10.00 rebilling fee may be added to overdue accounts. Returned NSF checks will be charged a $35.00 handling fee.

For your convenience we accept cash (please do not send cash through the mail), check, money orders, Discover, MasterCard or Visa.

Financial Assistance

We understand that there are circumstances that may warrant an extended payment plan. To request special consideration, please call our billing department at (360) 876-2434. We will work with you to find a satisfactory resolution to your situation.

Statements

Your account has been set up either as an individual account or as a family account according to the account guarantor information you provided on your initial registration form. A household may have more than one guarantor. This will produce multiple statements. If you prefer just one statement for all members of your family, please be sure to select the same guarantor for all members of the family. Please remember that you must be at least 18 years of age to qualify as an account guarantor.

See a copy of our Sample Billing Statement.