When will I receive a statement?
Bills for services with contracted insurance(s) are sent only after insurance has processed your claim. With a non-contracted insurance, you will receive a statement and a courtesy claim will be filed to your insurance.
How do I get an estimate of my charges?
Can you mail me a copy of my itemized bill?
What is my current account balance?
Contact us through Patient Financial Services at 425.899.3292, or by mail to Evergreen Medical Group, 12040 NE 128th St MS-10, Kirkland, WA, 98034.
Why have I received a statement in the mail?
A statement is sent to help you know as much as possible about the status of your bill and the status of payments. Please review your statement to ensure that charges submitted to insurance and payments received are accurate. You will continue to receive a statement until your account balance reaches zero.
What if my account has been referred to a collection agency?
Accounts are referred to collection when the balances due remain unpaid. Evergreen sends billing statements and collection letters for up to 120 days allowing you to either pay the account or establish a payment plan. You will be notified in writing when any account is going to be transferred and you will be allowed sufficient time to take corrective action.
I don't understand my statement. What is all this terminology?
Billing for health care services often includes several different types of clinical and financial terminology. However, we are committed to making our bills as patient-friendly as possible including explanations for our terminology. Also, Patient Financial Services representatives can help you with your questions about services and their charges. They may also reference medical staff for procedure or test explanations. Please contact Patient Financial Services by telephone at 425.899.3292.
Why do I get a separate bill for hospital services?
In order to send a claim to the insurance company, we are required to file a separate claim for each visit. In general outpatient visits on the same day are combined to a single claim. If you are referred to the hospital for additional testing or diagnostic scans, these will generate separate bills from your primary care office visit.
Who can I contact with questions about my statement?
Patient Financial Services representatives are available to help you over the phone (425.899.3292) with any questions or concerns you may have about your bill.
Will the primary care clinic bill my insurance company for me?
Yes. The primary, and if applicable secondary, insurance coverage you present at the time of registration will be billed.
Will the primary care clinic file my worker’s compensation claims for me?
Yes. The primary care clinic will bill worker's compensation insurance and make all appropriate first report of injury information available to the liability carrier and third party administrators.
Why is everything so expensive?
We strive to provide our patients with the very best medical care utilizing the latest technology. Our fee schedules reflect the cost of delivering the level of health care that our patients desire and deserve. Our prices are driven by the increasing costs associated with delivering high quality health care.
There are charges on my bill that I did not have or I dispute. What should I do?
Please contact Patient Financial Services and an inquiry will be sent to the audit team who will review your medical record to ensure the documentation substantiates the charge. If the charge is not supported, it will be credited from the claim and an adjusted claim submitted.
It has been several weeks since my hospital visit, why haven't I received a bill?
We will always bill the medical insurance on file first. Once the insurance has paid their portion, any remaining amount will be billed to you. If your insurance company pays in full you may not even receive a statement and you will only have your explanation of benefits from your insurance carrier to refer to.
I received a statement, but all it shows are totals. Can I have an itemized bill?
Yes. Itemized bills are available upon request.
How do I know that the amount you are billing me is the correct amount?
Once your insurance carrier pays their portion of the bill, they will send you an explanation of benefits (EOB) to show how the claim was paid. You can compare your EOBs statement. How the carrier paid the claim is based on its contract with Evergreen and its contract with you. If you feel the insurance company should have paid a higher amount, please contact the company directly for resolution.
My statement had an adjustment amount. What was that for?
Insurance carriers negotiate charge discounts. The amount of the discount is specific to each carrier. When the carrier pays its portion, the contractual allowance is posted to reflect the true amount due from the patient.
My account has been referred to an outside collection agency. Can I view my statement?
If your account has been referred to an outside collection agency, you must contact that agency to see all the activities being credited to your account. Evergreen will keep the details of your bad debt payments but will no longer produce statements on balances due.