Client Fees and Payment Policies of Emerald City Naturopathic Clinic, Inc., P.S.

We plan for your experience at Emerald City Naturopathic Clinic to be an excellent one. To further that goal, we want you to be fully informed about our fees and payment policies. The following information pertains to our cash-only practitioners. Full payment for all charges is required at the time of service. In special circumstances, the doctor may arrange differently. All practitioners at Emerald City Naturopathic Clinic can bill PIP accident claims and L&I claims. See section #9 below for payment policies in these cases. If you have other insurance coverage and you wish to submit a bill to request reimbursement for services received here, please ask for a superbill from the front desk during your checkout. These can also be provided for you at a later date at a charge of $3.00 each. We accept payment by check, cash, MasterCard, or Visa. Checks or credit card payments that are denied for lack of funds will incur a fee of $40.00. A minimum billing fee of $2.00 or 15% APR, whichever is greater, is added to any unpaid balance each month it is past due. Slight fee increases occur in October of each year to accommodate increases in expenses. We are committed to providing quality health care. Thank you for selecting ECN for your health needs.

1. First Office Call: $508. This is generally for an extended visit. Fee scale applies also to first visits by phone. Phone charges and time spent in addition to the phone visit for sending supplies or paperwork will be additional. ***Dr. Molly Niedermeyer only accepts new clients with a professional referral and cost is $508 for her initial visit.

2. Return Office Call: Cost is Variable, starting at $298 for Dr. Niedermeyer. Visits that extend past 30 minutes will be charged for an extended office call.

3. Extended Return Office Call: Cost is Variable: $358.00 minimum charge.

4. Extended Return Office Call with Dr. Niedermeyer: $398.00 minimum charge.

5. Phone/ Email Consultations: Variable: $88 minimum charge. Medical Insurance, PIP and L&I do not cover this expense- this fee is your responsibility. Phone or email consultations are provided for established clients only under special circumstances determined by the physician. The minimum fee is charged for any phone consultation up to 15 minutes and for email responses where a single reply suffices. Phone consultations that extend beyond 15 minutes will incur a greater charge. Email consultations that require multiple communications will incur additional charges. We strongly suggest phone consultations occur while you are at home - not while you are driving in your car. This fee is not charged in the following cases: when you require clarification of on-going therapy and when the doctor has asked you to call. If there is any question about this service you are welcome to ask in your call or your email inquiry.

6. Cancellation Charge: Dr. Niedermeyer requires a 72 hour cancellation or the full cost of the appointment is charged. PIP and L&I insurance does not cover this charge; it is your responsibility.

7. Insurance: We no longer accept any insurance. We are happy to provide you with an itemized receipt or superbill which you can submit to your insurance for potential reimbursment.

8. Interest Fee: If, for any reason, payment in full is not received at the time of service, a finance charge / billing fee of $2.00 will be charged. This charge will accrue each month until the patient no longer carries a past due balance. If a phone, email consultation, or pager fee was not paid at the time of service, there will be no interest if balance is paid prior to 30 days. Pre-arranged payment plans will accrue finance charge / billing fees on unpaid balances.