INSURANCE BILLING AT NORTHWEST INTEGRATIVE MEDICINE

Whether you need assistance verifying your insurance benefits, understanding out-of-pocket costs, or checking which major insurance plans we accept, you’ll find help here.

 

INSURANCE VERIFICATION WORKSHEET

DOWNLOAD our Insurance Verification Worksheet

Our Insurance Verification Worksheet is just one of the ways we’re here to help you feel confident and informed about your coverage. While using the worksheet is optional, it’s a great tool to empower you with the right questions to ask your insurance company, ensuring you’re fully prepared. Download our PDF using the link above to get started.

 

BEFORE YOUR APPOINTMENT

It’s essential that you confirm your insurance coverage directly with your insurance company. This ensures that there are no surprises or complications when it comes to billing and payment for your visit. Here’s what you’ll need to do:

1. Contact your insurance company: Give them a call to confirm that you can be seen at our clinic and that the services we provide are covered under your plan.

2. Specify the provider you’ll be seeing: When you speak with your insurance representative, make sure to mention both the provider you’ll be seeing at our clinic and their supervising provider (Dr Maeghan Cook). You may also want to provide them with the National Provider Identifier (NPI) of both your provider and their supervisor (Dr Maeghan Cook). The NPI is a unique identifier assigned to healthcare providers, and it helps the insurance company accurately verify coverage. 

  • Meaghan Cook, ND | NPI: 156-889-9508
  • Colleen Amann-Shah, ND | NPI: 154-8527-724
  • Jennifer Samson, ND | NPI: 163-973-3801
  • Mary Fu, ND | NPI: 1487129524

3. Confirm coverage: Ask your insurance company whether your chosen provider and/or their supervisor (Dr Maeghan Cook) are covered under your plan. This will help you understand any potential out-of-pocket expenses you may incur.

By taking these steps, you’ll ensure a smoother experience during your visit to our clinic, and you’ll have peace of mind knowing that your insurance coverage is confirmed in advance.

If you have any questions or need assistance with this process, consider downloading our Insurance Verification Worksheet linked above. And please don’t hesitate to reach out to our clinic staff! We’re here to help you every step of the way: (503) 855-4341.

 

CREDIT CARD ON FILE

To simplify billing, we ask all patients to keep a card on file, with the exception of those covered by Medicaid. Keeping a card on file offers several benefits:

  1. Streamlined Billing: It simplifies the payment process, allowing us to handle billing efficiently without needing additional follow-ups or paperwork.
  2. Faster Checkout: With a card on file, there’s no need to spend extra time on billing at each visit, making your appointment experience faster and more convenient.
  3. Transparent Payments: You can rest assured that any balance, copayment, or coinsurance will be processed securely and promptly, reducing the chance of unexpected bills later.
  4. No Interruptions in Care: By keeping payments up to date, having a card on file ensures there are no delays in accessing follow-up services or ongoing treatments.

COMMERCIAL (GROUP or PRIVATE) INSURANCE PLANS

Our providers are in-network with the following commercial insurance providers:

  • Aetna
  • Regence BCBS
  • Care Oregon
  • First Choice
  • HMA
  • Moda
  • Pacific Source
  • Providence

There is a wide variety of coverage for naturopathic physicians.  This varies by company and by plan and it is important that you understand your benefits.  Some insurance plans obtained through the health market place require that your primary care physician be at an assigned facility, which will affect your coverage. 

OREGON HEALTH PLANS (Medicaid) 

Our clinic is thrilled to be a primary care home for Health Share Care Oregon patients, and we’re excited to welcome new patients ages 12 and up.

Not all Oregon Health Plans are the same though, and we’re only able to accept certain ones. If your plan is listed as accepted below, we’d love to have you as a patient. Please note that some plans can require a referral from your primary care provider.

We accept the following OHP (Medicaid) plans without a referral:

  • Open Card (OHP Plus)
  • Care Oregon
  • Columbia Pacific CCO
  • PacificSource Community Solutions

Unfortunately, we are unable to accept the following plans:

  • OHP Trillium
  • OHP Kaiser
  • OHP Providence
  • OHP OHSU
  • All other CCO plans (e.g., Yamhill CCO)

    MEDICARE

    Medicare offered through the federal government does not cover naturopathic physicians. This includes additional plans offered through Medicare itself.  However, there are Medicare Advantage plans offered through private insurance companies that do offer naturopathic coverage.  To determine your coverage, please contact your insurance coverage.  

    OUT-OF-POCKET COSTS (Uninsured)

    For those who do not have insurance or have no naturopathic coverage, we offer a 25% discount off of all provider service charges. Get detailed pricing information, including payment options and discounts for patients paying out of pocket: View Pricing & Costs

    Every visit is billed based on the individual care provided. Please confirm any estimates before scheduling your first appointment. Also, please be aware cost estimates may not factor in potential additional costs from labs, questionnaires, etc. Please consider discussing the full range of likely costs with your insurance company before scheduling.

     

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