Chris Hatlestad, MD, ABFM is credentialed in Family Practice and credentialed with most of the following insurance companies listed below. Tammy Ashney, ND will not be participating in the ASH network. Please refer back for updates on insurance coverage.
INSURANCE COMPANIES:
We are accepting patients with the following carriers:
Healthnet of Oregon-
ODS-
BCBS* 3/2012
Lifewise* 1/2012
• Coventry* 10/2012
• Mailhandlers-
• First Health-
First Choice Network 10/2012
Pacific Source–PPO & HMO 10/2012
PCHS/Multi Plan 10/2012
United HealthCare-
Providence-
Aetna — we anticipate leaving the Aetna network.
Cigna including Great West of Oregon – Currently we are not participating with Cigna but many policies have out-of- network benefits often equaling in network. We will re-evaluate in January.
Posted October 2012 –We are currently unable to add more Medicare and MedAdvantage patients at this time except by referral meeting specific criteria. We will again consider additional patients after June 2013. This includes BCBS, HealthNet, Providence, United Healthcare, Today’s Options, and Secure Horizons. We apologize for this inconvenience.The following are by referral only meeting specific criteria:
Today’s Options
Tri Care
Medicare
Other companies may be contracted; please check with your carrier.
IV Therapy and Insurance Billing Policy-
IV therapy, chelation and nutritional therapies, do not meet the criteria for “medical necessity” which is the operative word. Medical necessity must withstand peer review (documentation in medical journals based on research), be a FDA approved medication, must have a valid NDC number, and drug name. All criteria must be met.
We will work with the patient regarding insurance billing only two of the following ways:
1] The patient would receive and pay for the IV. We will supply the patient with the billing information and documentation to bill the insurance themselves using their Social Security Number. The insurance check would come to you directly.
2] We will Medicare for denial with intent to bill secondary insurance.
It has been our experience that representatives of insurance companies are often unaware these treatments are classified as experimental and misinforming the patient. It is our intent that all parties should be protected. Review your insurance policy’s exceptions for coverage. We inform all patients at the time of service that IVs do not, in the majority of cases, meet medical necessity. Search our blogs for “Medical Necessity” for more information.
Our prices are set with low overhead and prices cannot be discounted.
