Billing Information

To securely and conveniently pay your bill online: Please use the PATIENT PORTAL/BILLING link in the Menu at the top of this page to pay anytime.

For billing questions: Please call our Patient Accounts Department directly at (206) 512-1150.

In addition to this page, please visit our Frequently Asked Questions (FAQs) page for more answers about billing and insurance.

Medical Fees

Initial evaluations range in cost depending on the complexity of the evaluation. This fee includes the initial visit, the physical examination, diagnostic procedures, and skin tests done at our clinic.  As a courtesy, we will bill your insurance company. However, payment is dependent upon the terms of your policy, which includes your deductible. Follow-up visits are billed separately from the initial visit, at an additional cost.

About Insurance

As a service to our patients, 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 please remember to bring this information to your appointment!  We will also need the insurance subscriber’s birthdate, employer, and social security number if it is part of the insurance identification number.

Co-payments must be paid at the time of the appointment.

PLEASE NOTE: While we make every effort to help our patients navigate their insurance in seeking care with us, you are ultimately limited (as we are!) by the policies and restrictions outlined by the insurance plan you have chosen for your health care needs. While we may help you try to understand your insurance options where we can, ultimately the responsibility is yours.  There are many insurance plans that do not require a referral.  We suggest that patients check with their insurance plan if they have questions.

Unfortunately, the filing of insurance claims is not a guarantee that the insurance company will agree to pay for your service. The responsibility of payment for services rendered rests directly with you, regardless of health insurance coverage. You will be responsible for any bills or amounts not paid by your insurance.

If you have questions regarding your insurance, we encourage you to contact your insurance provider prior to your appointment.

*** It is important to be aware that most insurances allow medical claims to be submitted for payment within 365 days from the date of service.  A request for a correction or appeal to an already processed claim is allowed within 24 months from the original processing of the claim.  Your insurance company is obligated to send an Explanation of Benefits indicating how they  processed all dates of service.  This should match any balance due statement from our office. If you do not receive an Explanation of Benefits from your insurance company please call them and request one.   Please let us know if you have any questions regarding this information or concerns about your ability to cover your portion of Northwest Asthma and Allergy Center’s services.

Our Credit & Payment Policy

All charges are due and payable upon receipt of your monthly statement. If unusual circumstances make it impossible for you to meet these credit terms, please call our Patient Accounts Department at (206) 512-1150 to make alternate payment arrangements. We do offer budget payment plans and will be happy to work with you to arrange one. If you elect a payment plan, you will receive a monthly statement that outlines your account balance and activity.

Referral Responsibility

It is the patient’s responsibility to be aware of any insurance referral requirements specific to their plan. Please inform your Primary Care Physician when a new referral is required. Failure to obtain a referral may result in the patient being personally responsible for all charges incurred.

For patients with secondary insurance plans, please verify if a referral is needed for specialist care. If so, ensure the necessary referral is obtained to allow proper claim processing and payment by your secondary insurance provider.

Managed Care Insurances

At Northwest Asthma & Allergy Center, we are contracted with many insurance plans. While most plans do not require a referral to receive in-network specialty care, if you have a Managed Care Plan (often referred to as an HMO), we recommend verifying your specific plan’s requirements before scheduling an appointment.

Below is a list of Managed Care Plans that may require an approved insurance referral for specialist visits. We advise you to consult your insurance provider or Primary Care Provider (PCP) regarding your plan’s referral process.

Please note: A valid referral must be on file at Northwest Asthma & Allergy Center before your appointment can be scheduled. This list is not exhaustive, and it is your responsibility to understand your plan’s requirements.

Our Referral Fax Number is:  (833) 615-2693

Managed Care Plans That May Require Referrals:

• Aetna HMO and Aetna Medicare Advantage
• Cigna HMO
• Health Alliance (out-of-network unless Medicare Advantage in Richland)
• Indian Health (Seattle, Tulalip, Yakima, etc.)
• Kaiser HMO (Core, SoundChoice, etc.)
• MODA (out-of-network)
• USFHP through PacMed (Uniformed Services Family Health Plan)
• Premera HMO (including some Medicare Advantage plans; Sherwood is not accepted)
• Providence Health Plan (unless through the First Choice Network)
• Regence HMO (including some Medicare Advantage plans)
• Tricare Prime serviced by Health Net Federal Services
• United Healthcare HMO (Navigate, Charter, Compass, etc., and some Medicare Advantage plans)
• VA (administered by Triwest)

Note: We are NOT in-network with most EPO plans.