Understanding My Bill
We know the billing process can be very confusing and you may have questions following an office visit or procedure. We have a staff of seasoned professionals available to discuss any billing questions you have.
For all questions regarding your bill, please contact call our Billing staff at (503) 964-9565.
Please be prepared to provide the following information:
- Account Number
- Patient’s Name
- Guarantor’s Name
- Primary and/or Secondary Insurance Carrier
- Insured’s ID and Group Number
- Daytime Contact Number
- Date of Services
Frequently Asked Questions
Why didn’t my insurance company cover my visit?
All insurance companies have the same disclaimer: "Coverage is not a guarantee of payment". The term 'covered' is different than that of 'payment'. 'Covered' means that your insurance is going to allow the service(s) received and will process your claim according to your specific plan benefits. Reasons for non-payment include but are not limited to: non-covered service, deductible, co-insurance or cost share, co-pay, plan exclusion, etc. As an example, often times the office visit will be allowed and paid by the insurance plan but the procedure performed that same day is applied to the deductible. Given the number of insurance companies and the numerous networks and benefit packages it is not possible for us to know exactly what your benefits are. Questions regarding your specific benefits are better directed to your health insurance plan.
What is a deductible? What is co-insurance or cost share?
A deductible is a fixed amount you agree with your health insurance plan to pay out of pocket each year for covered (or allowed) health care costs before they begin to pay. For example, if you have a $1000 deductible, you will be responsible for paying for the first $1000 in healthcare expenses out of pocket before your insurance company begins to pay. After the deductible has been satisfied there may also be an amount due from you called a co-insurance or cost share amount. This term refers to an amount you may be required to pay as your cost share for certain covered services. This amount is usually calculated as a percentage.