Practices often make choices about which insurance plans they can accept based on electronic set-up.
Providers must have:
- the ability to send claims electronically
- receive information form the health plan about those claims electronically
- receive the payment for the services provided electronically
The process for all three of these connections is complex and differs between every single health plan. If these electronic connections are not present, we cannot accept your insurance. This is not a choice about reimbursement or preference. It's about the reality of technology gaps in modern healthcare.
We cannot Accept the following frequently-asked-about plans:
- Kaiser
- Aetna
- Any and all Medicare Plans
- OHSU Health Medicaid
- Trillium Medicaid
- Any plan not listed on the out-of-network and in-network plan lists
If you have commercial coverage with any plan above, and you would like to continue with our services, payment must be made up front. We can help you seek reimbursement from your plan by providing a superbill.
However, Federal law prohibits us from accepting any form of payment from Medicaid members, so we unfortunately cannot provide services if you are a Medicaid member with a commercial plan listed above.
