[image]

Insurance and Billing

Rockwood Clinic accepts most insurance plans, including those listed below. In some cases, a clinical department or physician may be closed to new patients or a particular insurance. Please call our office at (509) 838-2531 prior to scheduling your appointment to verify if our office is open to new patients for the plans listed below.

  • Aetna
  • Asuris Northwest Health
  • Premera Blue Cross
  • Regence BlueShield
  • Cigna
  • Community Health Plan of Washington (CHPW)
  • Coordinated Care
  • First Choice Health Network*
  • Group Health Cooperative
  • LifeWise
  • Medicare
  • Medicaid**
  • Molina Healthcare
  • Tricare
  • Uniform Health Plan
  • United Healthcare

* First Choice Health has over 25,000 third party administrators that use the network, BeechStreet being one of them.

** The Rockwood Weight Loss Surgery Center is unable to accept Medicaid.

 

Responsibility as a Patient

We encourage you to review the benefits and requirements of your specific insurance plan. Rockwood Clinic contracts with multiple insurance carriers and each carrier may have several different plans and/or policies. Your health plan may make you responsible for co-pays, deductibles and non-covered services. Rockwood Clinic is contractually obligated to collect these amounts. These amounts are payable at the time of service.

Your insurance card(s) are necessary during the check-in process at your appointment. Our patient representatives will ask to review your insurance card at each visit to ensure that we have the most up-to-date information, including your current address and phone number.  If there are discrepancies, the representative will update the information and scan a copy of your insurance card.  The purpose of this process is to better serve you and alleviate any unnecessary billing problems.

Please note:
Employers update their insurance plans and/or benefits each year, usually from October through December in the Spokane area. Please be sure to notify Rockwood Clinic of any new insurance changes.

 

Billing Process

If we are contracted with your insurance company, the billing process will include:

  • After your visit with the provider, a claim, based upon specific requirements, is created in our patient management system
  • This claim is sent to your insurance company (if applicable) or directly to you if there is no insurance on file. Your insurance company will process the claim according to your benefit plan. Co-insurance and deductible amounts will be submitted to you in statement form for payment to our office. If there is no balance due, then a billing statement will not be generated
  • If a billing statement is sent to you it will include an itemization of your charges along with any payments received from your insurance company.  These payments and charges should correspond to the Explanation of Benefits (EOB) you will receive from your insurance company

To assure patient privacy, as well as to comply with possible future requirements of the Health Insurance Portability and Accountability Act (HIPAA), Rockwood Clinic enters each patient with their own account in our patient management system.  This means that for every member in your family with an open balance, a separate billing statement will be received (e.g., three members of your family have an open balance so three separate statements will be received). Billing statements are mailed on a 28 day cycle. The balance is due at the time of receipt. For your convenience, our office accepts Visa®, Discover®, MasterCard® and American Express® as payment options on your account.

We understand there are circumstances that may warrant an extended payment plan.  Please contact our billing customer service department at (509) 232-1479 if you need to request payment arrangements.  We will gladly work with you to arrange a satisfactory payment plan.

 

Courtesy Billing

Another way we can ensure a patient receives excellent customer service is by offering a courtesy billing service. This service submits a one time billing per claim to your insurance company on your behalf.  At the same time, we send a statement to you notifying you that our office has submitted a claim to your insurance on your behalf. It will be the patient's responsibility to follow through on any requests that the insurance company solicits. It is important to understand that you are still financially responsible for the account and will continue to receive statements until the balance is paid in full.

Worker's Comp Claims (L&I) or Self-Insured Companies:
A work injury claim may be initiated at a Rockwood Clinic facility by completing the correct claim form, either from the state of Washington L&I or a private self-insured carrier.  If possible, report your injury to either your human resource office or the safety officer before arriving at Rockwood Clinic.  Your employer representative should be able to advise you if the claim is filed through Washington state L&I or a private carrier.  Each Rockwood Clinic facility will have the correct L&I paperwork for you to complete. If our employer utilizes a self-insured carrier, your representative should supply you with the correct paperwork.

 

Questions

Our billing customer service representatives are available to assist you with your account(s) or billing questions Monday through Friday from 8 a.m. to 4 p.m. by calling (509) 232-1479 or 1-800-776-4048.

Explore Our Site