Insurance Billing

Performance Home Medical has contracts with most major insurance companies in our area, including Medicare, Medicaid, Regence, Premera, HMSO, PSHP,CHPW, Uniform Medical, Tricare/Triwest, PacificCare, AARP, Humana, Molina, United Healthcare & Aetna to name a few. 

We bill your insurance for you and in most cases accept assignment of benefits.  Prior to providing service we obtain a prescription from your physician and verify your insurance eligibility and coverage; obtaining any required authorizations.  We provide you with an estimate of your out-of-pocket cost for services and let you know if we can accept assignment of benefits.  If we do not expect your insurance to cover the services prescribed, we will let you know.  At that point your options will be explained to you and you may make a choice to receive or decline services.

Most insurance companies have a pre-determined allowable for each service rendered by our company, your physician, the hospital and any other service providers.  All service providers who bill services to an insurance company bill at usual and customary and then your insurance applies their allowable to the claim.  At that point your actual out-of-pocket cost is determined and upon receipt of payment from your insurance, we then bill you for your portion.  Unfortunately, insurance claims processing may be delayed which could delay the receipt of your billing from us.  We recommend that you set aside your estimated out-of-pocket cost each month until your billing is received.