509.435.0973

     
 
 

Alpine Orthopaedic & Spine, P.C.

As Alpine Orthopaedic & Spines practice management partner, Athenahealth is honored to provide services that include, but are not limited to Billing & Collections. In a collaborative effort we have negotiated to make the following payers available to the valued patients of Alpine Orthopaedic & Spine:

Accepted Insurances and Plans:

         
  • Aetna
  • Amerigroup
  • Asuris/Regence of WA
  • Choice Care/Human
  • Cigna Community Health Plan of WA
  • Coordinated Care (Medicaid)
  • Coventry/First Health/Altius
  • Essence First Choice Health Network  
 
  • Great West Healthcare
  • Group Health
    Cooperative
  • Interwest/PHCO
  • Medicaid of ID
  • Medicaid of WA
  • Medicaid DME
  • Medicare of WA
  • Medicare DME
  • Medicare Railroad
  • Molina Healthcare of WA
 
  • PacficSource Med Adv
  • PHCS/Multiplan
  • Premera
  • Spokane Community Care
  • Tricare
  • Uniform Medical Plan
  • United Healthcare
  • US Dept of Labor
  • WA Labor & Industries

Shared Ministry Healthcare Programs

         
  • Christian Healthcare Ministry CHM
  • Samaritan Ministries
  • Medi-Share
  • Liberty Healthshare
       

Rejection of Care By Insurance Companies


DEAR VALUED PATIENT:
There are many occasions in which we have ordered tests, injections, and/or surgery for you and the insurance company issues a rejection of care notice. Often, they say that they have relied upon "standard and accepted rules" but this is often not accurate or appropriate. Please understand that this is a methodical rejection of care that has been issued by the insurance company and it is not a reflection upon this clinic or you and your medical issues.

These measures are taken by companies to save money. While it is laudable to be economical with limited resources, there are substantial regulations and barriers to the implementation of healthcare that are adding unnecessary costs to the system.

In an effort to obtain medical care for yourself, the most powerful thing that you can do is to advocate for yourself through the Washington state "Office of the Insurance Commissioner". Fortunately, there is a website that shows the address and the contacts that are available to advocate for yourself. We have advocated for patients on many occasions through this venue, however we have been informed that complaints directly from the patient are the most powerful mechanism to activate the insurance commissioner into action on your behalf, and hopefully, “the system”. They will require your insurance policy number, insurance group number, the rejection of care letter from the insurance company, clinical records from this office, any radiology reports that support your care, patience, and most importantly, persistence. Often, they have you scan these records into the system. You can also do this via mail too.

The website for the Washington State Insurance Commissioner is: https://www.insurance.wa.gov/file-complaint-or-check-your-complaint-status

Thank you for your attention to this matter.

 

 
 
 

Alpine Orthopaedic & Spine, P.C.
212 East Central, Suite 365
Spokane, Washington 99208
T: (509) 435-0973
F: (509) 435-0978

 
 

Alpine Orthopaedic & Spine, P.C.
212 East Central, Suite 365
Spokane, Washington 99208
T: (509) 435-0973
F: (509) 435-0978

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