Patient resources

Billing & Insurance

Billing Information

PANW will bill your insurance carrier directly. Please bring your insurance card to every appointment and notify us if you have any changes to your insurance information. Please note billing your insurance does not guarantee payment. Patients are responsible for any copays, deductibles, coinsurance, and services considered “non-covered” or “not medically necessary” by your insurance company.

 

If your insurance plan requires a copay for office visits, please make this payment at the time of your appointment.  Co-payment invoicing will be accompanied by a $25.00 service fee. For more information about billing, please see our Financial Policy.

 

If you do not have insurance or are having difficulty paying your bill, please contact us for financial assistance. 

Payment Information

For the convenience of our families we accept payments in four ways:

 

  • Pay by Phone:
    Call our billing office at 503-419-4923
  • Mail payment:
    Pediatric Associates of the Northwest, 2701 NW Vaughn St, Suite 360, Portland, OR 97210

Insurance Information

 

While we are contracted with most insurance plans, it is important to check with your insurance to ensure we are a contracted provider. Below is a list of insurances we are contracted with for medical and behavioral health services. Please note that although we may be contracted with your insurance for medical services, we may not be contracted for behavioral health. Please contact our office if you have any questions. 

Medical Insurance Plans

Aetna

CareOregon

Cigna

First Choice

First Health/Coventry 

Healthnet

Lifewise

Managed Health Care NW (MHN) 

MODA

Multiplan/PHCS

OHP-Open Card

PacificSource

Providence Health Plan

Providence OHP

Providence Preferred

Regence

Tricare

UMR

United Healthcare 

Behavioral Health Insurance Plans

Aetna

First Choice Health

LifeWise

Moda

PacificSource

Providence OHP

Rengence

United Healthcare- only if using Aetna carve-out

 

 

 

 

 

 

 

 

 

 

Frequently-Asked Questions

While most insurance plans provide annual well visits at no cost, some plans will not cover every procedure code submitted with the well visit. Our providers are committed to providing your child with the very best care and this is always their top priority. All issues addressed during a visit, must by law, be coded for by the provider.  If you should receive a bill for a code which was attached to your child’s well visit, please call us and we can help explain this in more detail.

Not only is each insurance company different regarding what they will pay for, but plans amongst the same company can also vary.  Coverage depends on which plan your employer chose to provide its employees, and what the deductible or co-insurance requirements are from year to year. If you have a question about your current plan or want to discuss the difference in coverage between your insurance plans from last year to this year, our billing specialists can help explain this.

Because we offer a variety of methods to pay your bill, sometimes we sometimes receive payments at the same time or right after a billing statement has already been sent out. Please call our billing department any time you are unsure about a bill you have received from PANW.

Many of our payments from insurance companies come to us via electronic transfer and there are occasions that they upload to our system incorrectly. We always take the time to double check these payments; there are times when statements have already been sent before we are able to make corrections. Again, if there is ever a discrepancy between a bill you receive and what you believe your balance to be, please contact us so we can resolve this for you.