Billing & Insurance

WHW bills insurance as a courtesy. Patients are responsible for understanding their insurance plan prior to services. We ask that you call your insurance company to verify your insurance coverage with our WHW provider, we can not guarantee coverage. The list here is our contracted (in-network) insurance companies and our providers that are an exception to the in-network list.

You can see a WHW provider without using insurance or with a non-contracted insurance. If you choose not to use insurance for your services, please be aware that we follow the current No Surprises Act of 2022. Please see the notice of your rights under this act. Our rates are based on required national standards called CPT codes.

WHW Billing Process:

  1. We bill statements monthly. If you know (or are unsure) if you have a balance and do not receive a monthly statement, please call us to confirm your mailing address.

  2. Billing statements will only include money due by the patient/guardian after insurance has been processed, if you are using insurance. 

  3. Do you want to make a payment?

    • If you enrolled in our Patient Portal click here.

    • If you are NOT enrolled in our Patient Portal click here.

  4. If you would like to enroll in our Patient Portal please contact our team and they will assist you in the process: info@whwpdx.com or call at (503) 729-1380.

  5. Review FAQs about billing & insurance here.

 

In-Network

  • Aetna

  • Blue Cross Blue Shield of Oregon: Including Bridgespan plans and individual select plans. (We are NOT in-network with OHSU-BCBS network.)

  • CareOregon/Healthshare/OHP Bridge in Multnomah/Washington/Clackamas counties ONLY. (We do NOT accept Trillium Community Healthplan)

  • First Choice Health Network: Including patients who have Added Choice or DUAL Choice PPO benefit as part of their Kaiser Permanente Northwest (KPNW) insurance plan.

  • Kaiser Permanente Northwest (KPNW) Referred Patients: We can only see KPNW patients who have been referred by Kaiser Permanente for PMHNP services based on their evaluation and referral. We are contracted with Kaiser to see patients for therapy without the need of a referral. To discuss a referral you may speak to your provider at KPNW or call Kaiser Mental Health & Addiction Medicine Triage at 503-249-3434.

  • Legacy + and Legacy Health

  • Moda Health: Click here for complete list of Moda plans we are contracted with.

  • Pacific Source

  • Providence Commercial Health Plan


Exceptions

Below is a list of clinicians who are NOT in network with one or more of our group’s in-network insurance companies listed above.

  • Blue Cross Blue Shield: Becca Pierpont

  • First Choice: Kiersten Gilbert, Becca Pierpont, Tiffany Sommer

  • Kaiser: Becca Pierpont

  • Legacy + and Legacy Health: Kiersten Gilbert

  • Moda Health: Kiersten Gilbert, Becca Pierpont, Tiffany Sommer

  • Pacific Source Medicare Advantage: All PMHNP’s

  • Providence: Tiffany Sommer

  • Out of Network Insurance: Kiersten Gilbert