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 Billing & Financial Policy and Credit Card on File 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
- Online payment:
Secure online bill payment site.
- 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
Why am I receiving a bill for a procedure or assessment done at my child’s well exam? I thought well visits were supposed to be covered by my insurance.
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.
Learn more about the services typically covered by insurance in well visits, and the services that may need a copay or deductible, by downloading our preventative services posters or viewing the poster images below.
Make sure you check with your insurance, as each one is different!
Why did the insurance company we were insured with last year pay more for my child’s care than the current company we are with?
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.
I received a bill in the mail from you but I paid this balance through the Patient Portal.
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.
I received a bill for services and the EOB I received from my insurance company says I do not owe this amount.
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.
