Policies & Billing

Jump to List of Major Insurance Companies
Jump to Appointment Policies


Co-Payments

Many insurances require a co-pay at the time of service.  If you do not pay your co-pay at the time of service, your account will be charged an additional $10.00.


Please Bring Your Insurance Card
We will submit a claim to all primary and secondary insurances.  Please remember to bring your current insurance cards to your appointment.  Once your insurance company has processed your claim, we will bill you for the remaining balance.  Payments are expected upon receipt of your statement.  We accept Visa, MasterCard, Discover, American Express, Cash, Checks, Debit Cards and Money Orders.


If You Are Uninsured
If you are uninsured, or if we are unable to verify coverage, we require a $100.00 payment at your first visit which will be applied to your charges.  If charges exceed the $100.00 we will send you a statement.

Westside Pediatric Clinic, P.C. offers a discount at the time of visit for uninsured patients.  We offer a 20% discount on physician’s services.


Unpaid Accounts
We assign all unpaid accounts to an outside collection agency that report to a national credit bureau.  They will add additional penalties and interest to the unpaid amount.


Following Guidelines
Physicians must follow accepted national guidelines when determining what your charges (level of service) will be.  They must code your visit based upon what services were provided and cannot take into account particular health plan benefit designs.  Consequently we are unable to switch the visit reason and diagnosis in order for a claim to be covered by your insurance.  If you think there is an error on your account, please contact the billing office immediately.  We will review your concern with the physician and let you know the outcome.


Newborns
You should contact your insurance company as soon as possible after your child has been born.  Most health plans allow 30 days to add your newborn to your insurance plan.  If you have coverage through OMAP, you MUST contact your case worker immediately.  Your case worker will provide you with a temporary identification card.  If you are unable to provide proof of insurance after your baby’s two week appointment, we will charge you in full for services rendered.


Appointment Policies

  • If you are unable to keep your appointment, please call at least 24 hours in advance to cancel.

  • Patient visits at Westside Pediatric Clinic, P.C. are by appointment only.  Every sibling will need to have an appointment in order to be seen by the doctor.

  • Please bring your current insurance card to every appointment, and alert the receptionist of any changes when checking in for your appointment.

  • Insurance co-payments are due at the time of the visit.


Links to major Insurances we contract with:

Aetna

www.aetna.com

BlueCross BlueShield PPO

www.or.regence.com

Care Oregon

www.careoregon.org

Cigna

www.cigna.com/consumer/index.html

Great West Care/One Health Plan

www.onehealthplan.com

Health Net

www.healthnet.com

Lifewise

www.lifewisehealth.com

Managed Healthcare Northwest (MHN)

www.mhninc.com

ODS

www.odscompanies.com/index.shtml

PacifiCare

www.pacificare.com

PacificSource

www.pacificsource.com/for_prov.html

Private Health Care Systems (PHCS)

www.phcs.com

Providence Health Plans

www.providence.org/home/default.htm

Providence Preferred

www.providence.org/home/default.htm

Regence

www.or.regence.com

Tricare

www.healthnetfederalservices.com

United Health Care

www.unitedhealthcare.com

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Westside Pediatric Clinic, P.C.  9555 S.W. Barnes Road  Portland, OR 97225  503.297.1025

 

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