Billing Information

For billing questions, please email ptaccounts@nwasthma.com.

Initial evaluations range in cost from $450.00 to $1,400.00, depending on the complexity of the evaluation. This fee includes the initial visit, the physical examination, diagnostic procedures, skin tests and additional diagnostic procedures done at our clinic. Follow-up visits are billed separately from the initial visit, at an additional cost.

As a service to our patient we bill primary and secondary insurance claims. We require a copy of your insurance card(s) front and back in order to bill your insurance, so it is essential that this information is be brought to the appointment. We will also the need the insurance subscriber’s birthdate , employer and social security number if it is part of the insurance identification number.

PLEASE NOTE:  Northwest Asthma and Allergy Center is obligated to comply with the policies and restrictions outlined by your insurance plan you have chosen for your health care needs. The filing of insurance claims is not a guarantee of payment. The responsibility of payment for services rendered rests directly with you, regardless of health insurance coverage. If you have questions regarding your insurance coverage please contact your insurance prior to your appointment.

CREDIT POLICY
All charges are due and payable thirty days from the monthly statement date. If unusual circumstances make it impossible for you to meet these credit terms, please call our Patient Accounts Department at (206) 527-2577 to make other payment arrangements. Budget payment plans are available. You will receive a monthly statement that outlines your account balance and activity.

CO-PAYMENTS
Co-payments, if required by your insurance plan, must be paid prior to each appointment.

MANAGED HEALTH CARE REFERRALS
It is the patient’s responsibility to be aware of the limitations of their referral and to contact their Primary Care Physician when a new referral is needed. Failure to do so may result in your being financially responsible for all charges incurred. In order to assist our patients to receive the highest reimbursement from their insurance company, our office will be asking insurance information at the time of scheduling the initial appointment to help determine if your insurance plan requires a referral or authorization to be seen by an Allergy specialist. If you have secondary insurance coverage, and this plan requires a referral to see a specialist, please ensure you have obtained a referral to allow claims to be processed and paid by your secondary insurance plan.

HMO/MANAGED CARE INSURANCES
Insurance plans that require a referral to be seen by a specialist. Referral must be at Northwest Asthma and Allergy Center (on file) BEFORE the patient can be scheduled.

  • Basic Health/Basic Health+ (CHPW, Molina)
  • CHIP (CHPW, Molina)
  • Community HealthFirst Medicare Advantage Plan (CHPW)
  • GA-U (CHPW)
  • Group Health
  • Healthy Options (CHPW, Molina, Regence)
  • Indian Health (Seattle, Tulalip, Yakima, etc…)
  • PACMED (Pacific Medical Center) – USFHP, Medicare
  • Pacificare (Delegated groups only)
  • PEBB (CHPW)
  • Secure Horizons (Delegated groups only)
  • TriWest Prime
  • Veterans Administration (V.A.)
  • WMIP (Molina)

Insurance plans that we STRONGLY recommend the patient get a referral to avoid less out- of –pocket personal expense.

  • Aetna (EPO, Golden Medicare, HMO, Managed Choice POS, QPOS, Select, US Access)
  • Cigna (HMO, MC, Network, POS)
  • Group Health Alliant Plus
  • Regence Selections

PHONE NUMBERS
Main Clinic (206) 527-1200
HMO Coordinator (206) 576-1213
HMO Fax Number (206) 527-2514
Toll-free number 1-800-437-4055
Patient Accounts Dept: (206) 527-2577
or Toll-free 1-800-437-4055 option 7



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