Patient Forms,
Office Policies and Accepted Insurance Companies
1. Patient
Information Forms...
In order to make your visit less time consuming, we ask that you fill out
the Patient Information Packet mailed to you when your
appointment was scheduled. If you did not receive the forms, you may
access and print them from the above Online Forms link. Please bring
the completed forms with you when you come for your appointment. Filling out
these forms in advance of your appointment will enable us to serve you better and faster.
2. Office Financial Policy:
As a courtesy to our patients, we submit claims to all insurance
companies provided we have complete and accurate information. To
ensure your claim is submitted in a timely fashion, please make sure
the following insurance information has been included in your
registration process. It is our commitment to assist you in getting
your claim processed, but it is still your responsibility to ensure that
all services rendered by Strait Orthopedics, on your behalf are paid
in full.
Required Information:
* Your full name and address
* A copy of your current insurance card
* Complete name, address & telephone
number of insurance company
* Secondary insurance, if applicable
* Name and address and birth date of the
policyholder
* Your relationship to policyholder
Workers' Compensation Claims:
* Employer's name, address and phone
number
* Date of accident
Motor Vehicle Injury Claims:
* Insured Name
* Date of accident
* Insurance Company Name & Address
* Claim Number, if known
Co-pays and Deductibles:
* Co-pays and deductibles are due at time
of service.
Billing statements are mailed once a month unless there is insurance
pending and in that case, you will not receive a statement until we
have been reimbursed by your insurance company. However, if after 60
days we have not received payment from your insurance company, we look
to you, our patient, for assistance in getting your account paid.
We recognize that health care costs can, at times, create a financial
hardship, therefore, we are willing to visit with you to set up a
payment plan to ease the financial burden of satisfying an account
balance. There will be times when we ask you to produce financial
statements to determine a financial hardship. Our billing department
will be happy to assist you and review the details with you.
3. Accepted Insurance Plans
* Aetna US
Healthcare
* Blue Cross Blue Shield
* First Choice
* KPS
* L&I
* Medicare
* Molina
* Premera
* Regence
* Tricare
* Uniform
* Medicaid /
DSHS(accepted only at our Port Townsend
office)
In addition, we accept many other insurance plans. We may accept your
plan even if it is not listed here. Please call us to verify if
you are unsure.
