Billing and Insurance Information

The following are health plans that our office is contracted with as of January 1, 2006.  These Health Plans are subject to change.  Please contact your Insurance company for your plan to verify that you are approved to see one of our providers.

 

 

Billing Your Insurance

We are contracted with many insurance carriers.  If we contract with your insurance company, you will receive a billing from us after your primary insurance company has processed your claim.  Your charges will be listed along with any payments received from your insurance company.  You should also receive an explanation of benefits from your insurance company.  We do not accept credit card payments.

Our office will bill your primary insurance carrier.  If you have a secondary insurance, we will bill them as well, or contact our Office Manager for the necessary paperwork to submit to your insurance company.  Please contact our Office Manager with any questions regarding your bill.  billing questions  It is wise to familiarize yourself with your insurance plan's benefits.  Your health plan requires you to be financially responsible for payment of all co-pays, deductibles, and non-covered services.  We are contractually obligated to collect them.

Our Office Manager is available to assist you with questions about your accounts Monday through Thursday, 8am to 5pm or Friday 8am to noon by calling (360) 779-4428.

Monthly Statements

A billing statement is sent on a monthly basis.  Your statement will include an itemization of the charges.  This information may be required for your secondary insurance and for your personal records.  The balance on your statement is due within 30 days unless prior arrangements have been made.

If we are not contracted with your insurance company

If we are not contracted with your insurance company we will submit a courtesy billing to your primary insurance company.  You are still financially responsible for your account regardless of pending insurance payment.  You will continue to receive a statement until your account is paid in full.  If you have a secondary insurance, please contact our Office Manager or tell our Receptionist at the time of your visit so they may give you the necessary paperwork to submit to your insurance company.

Mail Handlers Benefit Plan

Medicare

MedAdvantage with Regence

National Preferred Provider PPO - Network

One Health Plan PPO - Network

PacificCare PPO

Premera LifeWise

Premera PPO

Private Healthcare Systems Network

Special Payment Arrangements

Circumstances occur for many that may require a payment plan.  Our Office Manager will work with you in good faith to find an equitable plan.   Office Manager

 

Railroad Medicare

Regence PPO

Regence

Regence Federal blue Cross Blue Shield

Regence Selections

Uniform Medical

United HealthCare

DSHS - WA

Insurance Links:

Aetna

Affordable Healthcare Concepts-Network

Choicecare PPO - Network

FirstChoice PPO - Network

First Health PPO - Network

CIGNA

GEHA-Government Employees Hospital Plan

Great West

KPS Health Plans

 

 

 

 

 

 

 

 

 

 

 

Bruce E. Carlton, M.D. and Associates
Internal Medicine   w   Adult Primary Health Care 
Bruce E. Carlton, MD  w  Anne LeDell-Hong, MSN, ARNP  w  Sharman K. Hurlow, MD
19365 - 7th Avenue N.E.   w   Suite 104   w   Poulsbo, WA  98370   w   Phone: 360-779-4444   w   Fax: 360-697-2514