Oregon Pediatrics participates in most insurance networks.
We accept cash, personal checks, and most major credit cards for co-pays and account payments. Our bookkeeping staff is available to answer any questions about insurance and your account.
Covered Services
Insurance benefits are certainly a consideration when you and your family need healthcare services. Please know however, that our first and foremost concern is to recommend and provide medically appropriate care to our patients. Your child’s health and wellness is our goal when we discuss options and recommendations for her/his care.
We do strive to provide that care within your benefit allowances. However, with literally thousands of insurance companies and benefit plans, it is impossible for us to know the details of each and every one. We recommend you speak with your insurance company to review your specific benefits, limitations, and financial responsibility. Our Patient Accounts Department is happy to assist if you have additional questions.
To help assure maximum benefits for your child, please bring your insurance ID card with you to each and every visit. It is not uncommon for important numbers to change so let us know any time you receive a new card, whether it’s from the same insurance company or a new one.
Billing Phone: (503) 427-2118
Our Patient Accounts Department is available M-Th 8:30am – 5:00pm and 8:30am – Noon on Fridays. They can help to determine your estimated out of pocket expense for the services your child is expected to receive.
Please note that some services provided by Clackamas & Oregon Pediatrics fall under “Surgical Care” benefits and as such are typically subject to deductibles and co-insurance. Some examples of these types of services include fracture care, wart treatment, and circumcisions.
Remember, your insurance benefits are an agreement between you and your insurance company. You are responsible to know your benefits and how they apply to the services your child may receive in our offices. We will bill your insurance carrier for you, using nationally standardized codes that represent the services your child received under our care. We are unable to change the codes to anything other than the codes which reflect the actual services provided, even if a different code would result in better benefits.
Insurance Affiliations
- 21st Century Insurance
- A & I Benefit Plan Administrators
- Ace Insurance
- Adventist Health
- Aetna
- Allegiance Benefit Plan Management
- Alliant Health Plans
- Allied Benefit Systems
- Allstate
- Allstate Workplace
- Amercian Postal Workers Union-APWU
- AmeriBen
- American Family Insurance
- American Hardware Mutual Insurance
- American Medical Security-UHC Choice Plus
- Ameriprise
- Amica Insurance
- ARM Ltd Northwest
- Assurant Health
- Asuris Northwest Health
- ATPA – Associated Third Party Administration
- Austin Mutual Insurance Company
- Beech Street Corporation
- Blue Cross Blue Shield
- Bollinger Insurance
- BRMS-Benefit & Risk Management Services
- California Casualty Insurance Co
- California Iron Workers Field Welfare
- Cambridge
- Care Oregon
- Caremark
- CBCA Administrators
- CHAMPVA
- Chesterfield Resources
- Choice Benefits – Arkansas Best Corporation
- Cigna
- Cinergy Health
- Clear One Health Plans
- CNIC Choicenet Intercare
- Coastwise
- Commerce Benefit Group
- Commerce West
- Commercial Insurance Newborn Pending
- Compass Rose Health Plan
- ConnectiCare
- Cooperative Benefit Administrators
- CoreSource
- Coventry Health Care
- Dakotacare – DAS
- DCIPA – Douglas County IPA
- Delta Health Systems
- Dept of Human Services Disability Determination Services
- Disability Determination Services
- DMAP
- EBMS – Employee Benefit Management Services
- Esurance
- Family Care
- Farmers Insurance
- First Choice Health Administrators
- First Health
- First Health Network
- FMH
- GEHA – Government Employee Health Assoc
- GEICO
- Gilsbar
- Golden Rule Insurance
- Great West
- Great West Cigna
- Group & Pension Administrators Inc
- Group Administrators
- Group Health Cooperative / Kaiser
- Group Insurance Service Center
- Group Resources Inc
- Guardian Life Insurance Company
- HAA Preferred Partners
- Harrington Benefit Services
- HCC Life Insurance Company
- Health Comp
- Health Exchange
- Health Future, LLC
- Health Net
- Health Partners of Minnesota
- Health Plan Serv A&H Limited Health Claims
- Health Plans Inc
- HealthSmart
- Healthy Kids Connect Clear One
- HMA
- Humana
- Humana Military Healthcare Services
- IMG
- Insurance Management Services
- International Association of Machinists – MHN
- Kaiser – Added Choice
- Kemper Auto Insurance
- KIPP
- Liberty Mutual
- Liberty Northwest
- Lifewise of Oregon
- Lifewise of Washington
- Loomis Company
- Mail Handlers Benefit Plan
- Maksin Health
- Masonry Welfare Trust
- Masters Mates and Pilots Plan
- Medica United Healthcare
- Medical Claims Management Corp
- Mega Life & Health Insurance Company
- Meritain Health
- MHN
- MHN HMC
- Mountain States Administrative Services
- MS Administrative Services Inc
- Myers Stevens & Toohey & Co
- Nationwide Auto Insurance
- Nationwide Specialty Health
- Northwest Administrators
- NTCA
- ODS
- OMAP
- Optimed Health
- Oregon Mutual Insurance
- Oxford Health Plans
- P5 Health Solutions
- Pacific Source
- Pacific Source Administrators
- Pacific Star Ins
- PacifiCare
- Pacificare Self Direct
- Paragon Benefits Inc
- Performance Health Technology TPAs
- Personal Care
- Phillips Administrative Services
- Plan Administration Inc
- Preferred One
- Principal Financial
- Progressive Auto Insurance
- Providence Health Plan
- Providence Preferred
- Prudent Buyer Plan
- Quadmed
- QVI Risk Solutions
- Regence Life and Health Insurance Company
- Reliance Standard Life
- Royal Embassy of Saudi Arabia
- Safeco
- Safeway
- Samaratin Choice
- School District # 1 Health & Welfare Trust
- Seattle Area Plumbing and Pipefitting
- Select Benefit Administrators
- Select Benefit Administrators of America
- Select Health
- Shasta Administration Services
- Sierra Health and Life
- Siletz Confederated Tribe
- SRC – Aetna
- Star HRG
- State Farm
- SummaCare
- TMHOP
- Travelers
- Tricare Overseas
- Triwest
- Tuality Health Alliance
- Tufts Health Plan
- UGS Global Care Inc.
- UHA – University Health Alliance
- UMR
- Unicare
- Uniform Medical Plan
- United American Insurance Company
- United Behavioral Health
- United Healthcare
- United Healthcare AIG Korea
- Unitrin
- US Benefits
- USAA
- Viking Ins of Wisconsin
- Washington State Medicaid
- Wawanesa Auto Insurance Company
- WEB TPA
- Wells Fargo TPA
- William C Earhart Co Inc
- WPAS
- Young Life
In addition to those listed above we participate in many local and national “networks”. If you don’t see your insurance on this list, please feel free to contact our billing department or your health plan for further information.
