Refund / Cancellation Policy

Thank you for choosing Dr. Attaman, PLLC for your care. The following is our Financial Policy. If you have any questions or concerns about our payment policies please do not hesitate to ask. We ask that all patients read and sign our Financial Policy as well as complete our patient information forms prior to seeing the doctor.

Patient’s portion of payment, as well as any past due balances, are due at the time services are rendered. We accept cash, personal checks, and credit cards for payment. We do our best to inform you of an estimated cost of services prior to your visit.

We accept assignment with most major insurance companies and participating provider plans (Premera Blue Cross, Regence Blue Shield, Aetna, Cigna, First Choice Health, United Health Care, Auto Insurance). However, you must understand that:

Your insurance policy is a contract between you, your employer, and the insurance company. We are NOT a party to that contract. Our relationship is with you, not your insurance carrier. All charges are your responsibility whether your insurance company pays or not. Our company will accept financial responsibility for claims not filed correctly or in a timely manner IF YOU SUPPLY OUR COMPANY WITH CORRECT AND CURRENT DEMOGRAPHIC AND INSURANCE INFORMATION FOR ALL CLAIMS.

  1. Fees for services, along with unpaid deductibles and co-payments, are due at the time of treatment. If the insurance company does not pay your balance in full within 30 days we ask that you contact the carrier to request prompt payment. Please inform our company of the carrier’s response.
  2. Returned checks will be subject to a $30.00 collection charge. If the check is not picked up and payment made within 10 days, we will turn the check over to law enforcement. Balances over 60 days will be charged a handling fee. Unpaid balances over 90 days will be sent to collections via small claims court, attorney, and/or collection agency with applicable collection fees.
  3. If you are self paying (cash, credit card, etc) for your consultation; a deposit of 50% is required to secure your consultation appointment. The remaining 50% will be collected at time of your visit. If you cancel your consultation with less than 48 hours notice to this office, your deposit will be forfeit and will not be refunded.
  4. If your insurance requires this office to obtain “pre authorization” or “prior authorization” for medical care, you will personally be responsible for $10.00 to cover this cost. This must be paid in advance prior to any “pre authorization” or “prior authorization” action by this office. There is no guarantee that your insurance will make an approval based on this “pre authorization” or “prior authorization.”
  5. If your insurance requires this office to generate a “letter of medical necessity” for medical care, you will personally be responsible for $35.00 to cover this cost. This must be paid in advance prior to a letter of medical necessity being generated by this office. There is no guarantee that your insurance will make an approval based on this letter of medical necessity.
  6. If your insurance requires this office to make an “appeal” for medical care, you will personally be responsible for $50.00 to cover this cost. This must be paid in advance prior to an appeal being generated by this office. There is no guarantee that your insurance will make an approval based on this appeal.
  7. If your insurance requires that our physician make a “peer to peer” phone call for medical care, you will personally be responsible for $75.00 to cover this cost. This must be paid in advance prior to a “peer to peer” phone call being made. There is no guarantee that your insurance will make an approval based on this “peer to peer” phone call.
  8. Failure to cancel an office/clinic appointment within 24 hours of the appointment will result in a cancellation or “no show” fee charge of $150.00. Failure to complete New Patient Intake Form that results in a cancellation of the appointment will result in a cancellation fee charge of $150.00. Failure to cancel a procedure within 24 hours of the appointment will result in a cancellation or “no show” fee charge of $300.00. Failure to follow the NPO (nothing by mouth) guidelines or other pre-procedure instructions that results in cancellation of the procedure will result in a cancellation fee charge of $300.00.
  9. Dr. Attaman, PLLC has “opted out” of Medicare. We do not accept Medicare as a form of payment or insurance. By law, you cannot submit bills from Dr. Attaman, PLLC to Medicare for reimbursement.

Our treatments include: Stem Cell Therapy (visit our Regenexx site) | Platelet Rich Plasma Therapy (PRP) | Prolotherapy | Pudendal Neuralgia Treatment | Epidural Steroid Injections | see more pain-control procedures

THIS NOTICE MUST BE PROVIDED TO YOU UNDER WASHINGTON LAW.

This health care practitioner performs one or more stem cell therapies that have not yet been approved by the United States food and drug administration. You are encouraged to consult with your primary care provider prior to undergoing a stem cell therapy.