Billing & Insurance
Psychiatric Services
Payment for services is required at the time of service.
Psychiatric Services with:
Claire Pastor, MD
Charles Wang, MD
John Pastor, MD
Tina Lee, MD
Minor New Patient Evaluation
(under 18 yrs old)
(Two - 60 min sessions) $990
For minor patients under 18 years of age, the intial evaluation will be split into two parts. The first hour will be scheduled with the parents/guardian of the patient. The second hour will be scheduled for the patient.
Adult New Patient Evaluation
(18 yrs +)
(60 min session) $495
For patients over 18 years of age there will be only one first initial evaluation.
Established Patient Follow-Up
(60 min session) $355
Established Patient Follow-Up
(30 min session) $255
Miscellaneous Fees
Letters and/or forms requested by the patient may be billed according to the complexity of the letter or form, and determined by the length of time taken to complete. Extended patient telephone calls and calls to other professionals (attorneys, therapists, school personnel, etc.)
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Missed appointments and late cancellations are billed at the same rate as the scheduled length of time of your visit.
Psychological Services
Payment for services is required at the time of service.
Psychotherapy Services with:
Natalie Hale, PhD
Minor New Patient Evaluation
(under 18 years old)
(Two - 60 min sessions) $730
For minor patients under 18 years of age, the intial evaluation will be split into two parts. The first hour will be scheduled with the parents/guardian of the patient. The second hour will be scheduled for the patient.
Adult New Patient Evaluation
(18 years old +)
(60 min session) $365
For patients over 18 years of age there will be only one first initial evaluation.
Established Patient Fees
(60 min session) $265
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Missed appointments and late cancellations are billed at the same rate as the scheduled length of time of your visit.
Insurance
Our providers are considered out-of-network. This includes Medicare, Medicaid, and Tricare. We advise before scheduling an appointment to contact your insurance provider and inquire about your out-of-network benefits to determine if our practice is a good fit for you!
Patients will be provided with an itemized receipt once payment is received in full. This itemized receipt (superbill) can be used for the patient to self-submit claims for possible insurance reimbursement with their insurance carrier. See below for further instructions on how to obtain your itemized receipt!
How to submit receipts to insurance
After an appointment has been paid in full an itemized receipt (also known as 'Superbill') will be available on your patient portal.
This itemized receipt includes all the necessary information your insurance requires in order to process a claim. It includes the following information: Patient Name, Date of Birth, Date of Service, Procedure Code (as known as 'Service Code' or 'CPT Code'), Service Provider, Provider TAX ID, Provider NPI, Cost of Service, and Payment of Service.
To download or print your itemized receipt please follow these directions:
- Login to patient portal here. If you need any assistance with your patient portal login, please contact our front office team.
- Once you are logged into your patient portal, select the 'Billing' section on the left hand side bar.
- Then select the 'Ledger' tab on the top left.
- Under 'Patient Financial Ledger' you will see all claims for services you have paid in full. (Note: if you do not see a particular date of service please contact our front office team for assistance.
- Within the 'Ledger' page, you can search or select the claims or dates of service that you are seeking by clicking the check box next to each (or unselecting the dates of service you do not wish to print/download).
- Once you have the claims or dates of service select make sure to select the small (+) symbol at the top of the section; this will expand the details of each claim to include all the necessary information you will need.
- Once you have selected everything that you need you can select 'Print' and from the new window download or print your receipt.
From here you will need to navigate your own insurance account to upload/submit your claim with the information provided on your itemized receipt. If you need any assistance or have any question on how to submit your claim we recommend reaching out to your insurance's customer support line. If you have any questions or need any assistance on downloading/print your itemized receipt please contact our front office team.
Contact Us
1621 114th Ave SE, Suite 132
Bellevue, WA 98004
Phone: 425-462-9511
Fax: 425-462-8894
E-mail: info@interlakepsychiatry.com