Payment Expectations

To Our Patients

The Waianae Coast Comprehensive Health Center are committed to providing patients with the best possible health care. These payment expectations were established to clearly outline patient financial responsibilities and to avoid any misunderstanding or disagreement concerning payment for the services you receive at our Health center. If you have questions about these expectations please call our billing office at (808) 697-3199 for additional information. We are here to help you.

In order for the Waianae Coast Comprehensive Health Center to successfully bill for the healthcare services you receive, we must rely on you to provide us with complete, accurate, up to date information. To help assist us we request that you arrive 15 minutes early for your appointment and be prepared to:

  • Confirm/update your current address, telephone number and payment information.
  • Make payment for the amount due at time of service according to the payment expectations.
  • If you have medical insurance, notify the front desk staff of any insurance changes and provide all of your current insurance card(s) and properly identify each insurance plan as primary, secondary or tertiary.
  • Inform us if your visit is for an injury that should be covered by workers compensation or liability insurance.

Payment due at time of service

All Patients are expected to make payment for their portion of the bill on the day you receive services. Payment may be made by cash, check, or credit card.

  • If you are eligible for our sliding fee scale you are expected to pay your portion of the bill in full on the day you receive the services. If you have questions about our sliding ("fee scale or want to apply please contact Patient Assistant Services at (808) 697-3591.
  • If you do not have insurance you are expected to pay in full on the day you receive services.
  • If you have medical insurance coverage by a plan that we are contracted with you are expected to pay your copay or coinsurance on the same day you receive the services.
  • If you have medical insurance coverage by a plan with which we do not have a contract you are expected to pay on the day you receive service. Payment of any balance not paid by your insurance company is expected within 30 days of receiving a statement.

Outstanding Balances

Patients are expected to pay for services they received according to these payment expectations. If we do not receive payment from you within 30 days, your account will be considered past due and our staff will proceed with collection efforts. Please review your statement carefully and contact our billing office immediately if you have questions or think that you received the statement in error. If your account is past due, please contact our billing office staff at (808) 697-3199 to discuss your account and make financial arrangements. We are here to help you.

Insurance Claims

We will submit your insurance claims for you if you provide us with complete and accurate information. In order for us to successfully submit your claims you must:

  • Notify us immediately of all insurance changes
  • Present all of your current insurance cards at every appointment
  • Properly identify each insurance plan as primary, secondary or tertiary

If you have an insurance plan with which we are not contracted you are expected to pay for the charges on the same day you receive the service. We will submit your insurance claims for you as a courtesy. However, you are ultimately responsible for payment of the services you receive. If you and your insurance plan both pay for your services, we will refund your payment by check.

If you have an insurance plan with which we have a contract and payment is not received from your insurance company within 45 days of the billing date, payment of the remaining balance will be your responsibility. When necessary, we may ask you to assist us in working with your insurance company to obtain payment for services.

Non-covered Services

Your insurance plan may not cover all medical services and may determine some services to be "not medically necessary". When your insurance plan makes this determination and allows us to bill you, you will be responsible for the payment of the non-covered services.

Knowing your insurance benefits coverage is your responsibility. Please read your insurance plan materials carefully and contact your insurance company with questions so you are not surprised.

Coordination of Benefits

If your insurance company denies your claim(s) due to coordination of benefits you will be responsible for payment of the remaining balance for the services you received. If you receive a statement from WCCHC stating a coordination of benefits issue you must call your insurance company and work with them to have your claim reprocessed.

Workers Compensation and Liability Claims

If your visit is for an injury and should be covered by workers compensation or liability insurance, you must inform our staff when you schedule your appointment and complete the required forms when you check in. If you do not provide us with all the necessary information you will be responsible for payment for services rendered.

Lab Services

While we perform many laboratory services here at Waianae Coast Comprehensive Health Center, some tests ordered by our providers are performed at outside laboratories such as DLS. You or your insurance company will receive a separate bill from an outside laboratory for those services.