Billing and Insurance

Billing Information

You will be asked to put a credit card on file, which will not be charged until your insurance company has adjudicated your claim. By processing your insurance first, we will only charge you for your exact out-of-pocket responsibility. After your insurance has processed, you will receive an email informing you of the actual amount you owe and notifying you that your card will be charged in five days, unless you wish to discuss alternative payment plan arrangements with our business office.

All financial information is fully encrypted. West Hills Allergy Asthma Associates maintains compliance with all industry standards protecting your information.

Once your office visit has been paid in full, the credit card information will be deleted and no longer kept on file.

Using credit card on file allows you to:

  • Pay balances and co-pays conveniently
  • Make payments automatically using your credit card of choice
  • Avoid writing checks to pay bills by mail
  • Receive notifications and receipts sent via email

For billing questions: Please email info@westhillsaaa.com or call our Patient Accounts Department directly at (503) 297-4779.

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 West Hills Allergy & Asthma Associates’ 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 (503) 297-4779 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.

Managed Health Care Referrals

It is the your responsibility to be aware of the limitations of a referral and to contact your Primary Care Physician when a new referral is needed. Failure to do so may result in being personally responsible for all charges incurred. 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.

Managed Care Insurances

We accept many types of insurances. There are many insurance plans that do not require a referral. We suggest that patients check with their insurance plan if they have questions. Below, please find a list of Managed Care Insurances that have select plans where an insurance approved referral is required to be seen by a specialist. You should consult your insurance plan or Primary Care Provider prior to scheduling an appointment. The referral must be on file at West Hills Allergy Asthma Associates BEFORE an appointment can be scheduled.

Accepted Insurances

AARP
Aetna
Assurant Health
Blue Cross/Blue Shield
Claims Central
Cigna Healthcare
Columbia United Providers
(PeaceHealth Employees Only)
Coventry
First Health
GEHA
Healthcare Resources N.W.

Health Net
Healthsmart
HMA
Humana (Medicare plans only)
Lifewise
Managed Healthcare Northwest
Medicare
Medicare Railroad
Moda Health
Multiplan
Pacific Care
Pacific Source

Pacificare of Oregon
Portland IPA
Providence Health Plans
Regence Blue Cross Of Oregon
Secure Horizons
Tri-West
Tricare For Life/W P S
Triwest Healthcare Alliance
UMR
Uniform Medical Plan
United Healthcare
various other insurance plans

Make An Appointment

Contact our office to make an appointment and meet with our team.

BOOK AN APPOINTMENT