Insurance Billing

We're In-Network with the following Insurance Plans

  • Ambetter/ Coordinated Care
  • Apple Health Molina and Coordinated care (currently full)
  • Blue Cross/ Blue Shield
  • First Choice Health Network
  • Kaiser PPO, Options plans
  • Lifewise
  • Molina marketplace
  • Premera Blue Cross
  • Regence Blue Shield
  • Uniform Medical Plan

We've ended our contract with Cigna and American Speicalty Health

Beginning 1/1/2023 OSFM will no longer be contracted with Cigna due to ongoing reimbursement issues.  See our website for more information about our Discounted Cash prices and let us know if you'd like a receipt to submit for any reimbursement allowed by your plan.

Insurance Billing Information

Billing Questions?  Send us a message in the Patient Portal

Patient Portal

Co-Insurance and Deductibles

While preventive exams are generally covered in full, most other visits will result in a partial payment from your health plan and a partial payment from you. We'll collect a credit card to hold on file for your account. Once your insurance has paid, you will receive a notification by email that the payment will be collected in 5 days. You'll receive another notification when the payment occurs and will also receive a receipt by email as well.

Out of Network Billing

If we are out-of-network, OON, with your insurance plan, we'll be happy to supply a receipt so that you can apply for reimbursement. This is called out-of-network billing, and generally is reimbursed at a different rate.  Some plans don't cover preventive services with an OON provider.  Please call your plan or go online to understand your OON benefits before your visit.  Here are some questions to ask.


  • Does my plan cover naturopathic medicine or services rendered by a naturopathic physician?
  • Is my selected doctor a preferred (in network) provider? If you need the doctor’s NPI or tax ID in order to get verification, please call the office — our front desk can provide this information.
  • If they are not in network, do I have out-of-network coverage? How will my care be covered out-of-network?
  • Do I have a deductible, and how much is remaining?
  • At what percentage will my insurance cover my care?
  • What are my preventive benefits?


Our Tax ID number is 45-4855451

Our group NPI number is 1013268622

These numbers will help you confirm whether we're covered by your plan, and you can use them when submitting for reimbursement

Preventive Care Services

The services provided as part of a well-child or preventive adult checkup are defined by the Centers for Medicaid Services and health plans. These checkups include an assessment of growth and development, screening for medical and psychosocial problems, anticipatory guidance to aid parents in the next stage of their child’s development, a review of vaccination history and status and administration of any vaccines necessary. We are happy to address questions that come up during the visit, and most can be answered simply and fall within the scope of this well child checkup or adult physical.  Learn more about how this may affect your visit billing, including co-pays and deductibles.

Learn more

Patient Portal

Our patient portal is a convenient way to ask questions or seek clarification on your treatment plan after your visit.  If you participate in our monthly Non-Covered Services program, it's also a simple way to ask for support from your medical team between visits when your question doesn't require a visit.  Occasionally, health plans cover simple medical visits by portal as well.  If your concern involves diagnosis and treatment, we will bill your insurance for a visit. 

After Hours Care

A One Sky Family Medicine physician is available to take urgent after-hours calls. These calls are generally to help you decide whether additional care is needed right away or if you can wait until the next available visit to come to the clinic.   To reach the on-call doctor, please call our phone and select the option for urgent after hours calls.


Please be thoughtful with your calls and do not page for non-urgent issues, medication refills, lab orders or to schedule a visit. There is a $45 fee for after-hours pages. This service is not covered by health insurance plans.

Late Cancellation and No-Shows

One Sky Family Medicine provides a unique clinical experience and we value the depth of the relationships that we build with the people we serve. To that end, we generally spend significantly more time during each patient visit than is standard in health care today. 
 
We require at least 24 hours' notice for cancellations, so that we may offer that appointment to another patient in our community. The 24-hour notice excludes weekend and holiday hours. If you need to cancel an appointment for Monday, please call before your appointment time on Friday.
 
The charge for a missed appointment or late cancellation is $60 for 30-minute visits and $100 for hour long visits, visits scheduled on a weekend, before 9 am, after 5 pm or for new patient visits. This fee will not be covered by your health plan.

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