Insurance claim forms for reimbursements

1. Log on to patient portal and an itemized receipt will be listed under the "Invoices and Payments" icon.

2. If you do not see a itemized receipt, please request a copy through the patient portal via the "Secure Messages" icon.

2. Click the applicable insurance link below to print off your insurance claim form below.

Aetna

Blue Cross/Blue Shield

Regence

Pacific Source

Mountain Health Co-op

TriCare

*Medicare and Medicaid are not reimbursable.