Insurance

As Alpine Orthopaedic & Spine’s practice management partner, Athena Health 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
Tracer
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

Insurance Appeals Guide

Appealing for Care from 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

Thank you for your attention to this matter.

Patient Testimonials