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Patients

Welcome!

Our electronic forms streamline the check-in process. You'll receive a text or email before your appointment, asking you to complete them digitally. Completing these forms in advance is beneficial for us. Additionally, we may occasionally ask our established patients to update their information, although we aim to keep these requests minimal.
 

New patients

Your paperwork process will be similar. Please contact our office for scheduling questions. 503-643-2100

Billing & Insurance

NWPIM offers the convenience of direct billing to your insurance carrier. Please remember to bring your insurance card to each appointment and inform us promptly of any changes to your insurance information. However, it's important to note that while we bill your insurance, payment isn't guaranteed. You are responsible for any copays, deductibles, coinsurance, or services not covered by your insurance plan. If your insurance requires a copay for office visits, please make this payment at the time of your appointment. 

Senate Bill 1529 is in full effect which means Oregon law now requires all patients to have a designated PCP in-network with their insurance plan. If you have Providence Health Plan and have not yet assigned Mindy as your PCP, please contact your insurance company July 1st to get switched! For all other insurance plans, you may select either your favorite NWPIM provider or the clinic as your Primary Care Provider, depending on your plan’s specifications. Don’t worry—you can still see all NWPIM providers regardless of which one you choose to be your PCP.

For more details on billing procedures, please consult our Billing & Financial Policy and Credit Card on File Policy. If you are self-pay or encounter financial challenges, please don't hesitate to contact us for assistance.

Insurance List

  • Aetna

    • Most Commercial

  • Cigna

    • Most Commercial

  • Coventry/First Health

    • ✅ All

  • First Choice Health Network

    • ✅ All

  • Healthnet

    • ✅ All

  • Moda

    • Beacon

    • Connexus

    • Synergy

  • Multiplan

    • ✅ All

  • OHP Open Card

    • ✅ All

  • OHP Trillium

    • ✅ All

  • PacificSource

    • Voyager

    • Legacy+

  • PHCS/Beechstreet

    • ✅ All

  • Regence

    • Participating    

    • Preferred

    • Individual & Family

    • RealValue

    • Regence MedAdvantage PPO

    • Regence BlueAdvantage HMO

  • Tricare

    • ✅ All

  • United Healthcare

    • Most Commercial

Aetna
Most Commercial
Cigna
Most Commercial
Coventry/First Health
All
First Choice Health Network
All
Healthnet
All
Moda
Beacon, Connexus, Synergy
Multiplan
All
OHP Open Card
All
OHP Trillium
All
PHCS/Beechstreet
All
PacificSource
Voyager, Legacy+
Providence Health Plan (Mindy Cho only)

Signature Health Network, Choice Network, Extend PPO Network

Regence

Participating, Preferred, Individual & Family, RealValue , Regence MedAdvantage PPO, Regence BlueAdvantage HMO

Tricare
All
United Healthcare
Most Commercial

Medical Records

New patients

Please call 503-643-2100 to set up your new portal account in order to submit forms electronically.

 

Established patients

Please visit the portal to download the medical records form and submit that to office@nwpim.com, by mail, or fax (503.643.7300).

 

There may be fees for the release of records as permitted by state law (ORS 192.563) and HIPAA Privacy Rule 45 CFR 164.52(c)(4).

Transfer of records to a new provider will be sent complimentary. Subsequent new provider transfers will result in a $75 charge to the patient; payment is required for release of records. For personal copies of medical records, costs may range from $25-$300 (depending on the size). Payment is due prior to receipt.

Forms & Paperwork
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