Payment or signed contact to bill insurance carrier for services rendered is due at time of service. Any outstanding balance will be requested during patient check in. If you have no insurance, you are eligible to receive care at a reduced rate when paid at the time of service. Please read through the payment options below for more information.

You can also pay bills online by logging onto mySFM and clicking on the myAccount button.

We accept all major credit cards, including:
American Express
Discover/Novus
Mastercard
Visa

Discounts
If you have no insurance, you may participate in Simple Care, a discounted medical program. All fees for your visit must be paid at the time of service to be eligible for Simple Care. We will scan driver’s licenses into the computer for all patients who are being seen via Simple Care. Patients must leave a minimum deposit of $50 cash, check or debit/credit card with the receptionist before being seen by a provider. If a Simple Care patient’s check is returned for non-sufficient funds (NSF), we remove the discount, charge the full amount, and bill for the NSF fee.

Co-pays
Co-payments are a part of your contract with your insurance carrier and are due at the time of service. We will collect your co-payment when you check in for your appointment. If you are not prepared to pay your co-pay, we may be required to reschedule your visit.

Insurance
Your insurance policy is a contract between you and your insurance carrier. Please review and understand your insurance benefits. Do not assume your policy covers all medical care. Different policies from the same carrier may have different benefits and/or different requirements. It is ultimately the patient’s responsibility to know what his/her individual policy covers.

Always carry your insurance card with you. You may need it in case of an emergency and we need it for verification at all office visits. Without this information, we may have to reschedule your appointment or you may have to pay for services at the time of your visit.

Your health plan mandates that you are financially responsible for all co-pays, deductibles, and non-covered services. Sound Family Medicine is contractually obliged to collect these fees. Please do not request that we adjust these fees from your account.

L&I and Self Insured Companies
We accept Labor and Industry claims for existing patients only. You should carry your L&I claim number with you at all times. This number must be presented to the receptionist at the time of your arrival.

Please bring your SIF-2 form from your employer to your appointment (if company is self-insured). We have the forms for all state-insured companies. If you are unsure whether your company is self-insured or state insured, ask your employer. It will be necessary for you to fill out an accident report if you arrive without a self-insured claim form.

Motor Vehicle Accidents
We accept motor vehicle accident claims for existing patients only. If you have Personal Injury Protection (PIP) coverage, we will bill your auto insurance for your visit. If your insurance policy does have PIP coverage, we are unable to bill your health insurance for medical care received due to a motor vehicle accident. Regardless of fault, Sound Family Medicine does not bill motor vehicle insurance for third parties. We will bill your insurance and it will be their responsibility to collect from the third party. Payments for these visits are due at the time of service.

Past Due Balances
Payment arrangements for past due balances can be made with the collections department. If payment is not made within the appropriate time period, the account will be turned over to a professional collection agency. At that time, the patient and family may be discharged from Sound Family Medicine. Please contact us if you are unable to pay your bill so that we may make arrangements with you without taking further action.

Non-Sufficient Funds (NSF) Checks
Our clinics utilize a system that allows us to verify funds in an account before accepting a check. However, in the event that a check is returned because of non-sufficient funds, there will be a $25 NSF charge applied to the patient’s account, plus the amount of the returned check. If a Simple Care patient’s check is returned for non-sufficient funds, the discount will be deleted, and the patient will be billed for the full amount and the NSF fee.