Insurance & Billing
Simple, transparent, direct-pay care.
We're not in-network with insurance. Here's exactly how billing works, and how to submit for possible out-of-network reimbursement.
The short version
Direct-pay, superbill on request.
Tri-Cities Precision Health is a direct-pay (also called "cash-pay" or "concierge") practice. Payment is due at the time of service. You will receive a detailed superbill on request, which you can submit to your insurance for possible out-of-network reimbursement. We do not file claims for you.
You pay at the time of service.
We accept credit card, debit, HSA, FSA, cash, and check. Membership plans are billed on a recurring schedule.
We provide a superbill.
An itemized receipt with diagnosis (ICD-10) and procedure (CPT) codes. You submit it to your insurance for possible out-of-network reimbursement.
Your time back.
No prior authorizations. No insurance dictating what we can offer. Longer visits, direct-messaging access, and the treatments you actually need.
How it works
From your visit to a possible reimbursement.
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Book & pay for your visit
Choose a discovery call, a new patient visit, a membership plan, or a specific therapy. Payment is due at booking or at the time of service.
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We provide the superbill
You'll receive an itemized superbill by secure message with diagnosis codes, CPT codes, charges, and provider credentials — everything an insurer needs.
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You submit it to your insurance
Log into your insurer's member portal and submit the superbill as an out-of-network claim. Ask about your out-of-network deductible and reimbursement percentage.
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Your insurance reimburses you
If your plan has out-of-network benefits, the insurer sends reimbursement directly to you. Reimbursement amounts and eligibility are determined solely by your plan.
What's not billable
Some services are cash-pay only.
These are not covered by commercial insurance and are not billed to Medicare or Medicaid. We include them on your superbill so you have a complete record, but insurance will typically not reimburse for them.
Cash-pay services
- IV therapy & infusions
- Injections
- Ozone therapy (MAH, EBOO adjunct, insufflation, injections)
- Low-Dose Allergen (LDA) therapy
- Peptide therapy
- IASIS microcurrent neurofeedback
- Pelvic floor therapy
- Supplements & compounded medications
- Clinic-supplied items and IV/injection supplies
Possibly reimbursable (out-of-network)
- Evaluation & management (E&M) office visits
- Preventive visits & annual physicals
- Chronic disease management visits
- Prolotherapy and trigger point injections (plan-dependent)
- Some laboratory orders (drawn at Labcorp or Quest under your insurance)
Reimbursement is never guaranteed. Check your plan's out-of-network benefits before your visit.
Medicare
The provider is opted out of Medicare.
Rosita P. Walker, MSN, ARNP, FNP-BC, has formally opted out of Medicare effective 05/11/2026. This is a federal designation with specific rules for Medicare beneficiaries.
If you are a Medicare beneficiary:
- You may still receive care here as a private-pay patient.
- Before your first non-emergency visit, you'll sign a Medicare Private Contract — a federal requirement.
- Under that contract, neither you nor the provider can submit claims to Medicare for services received here.
- You remain eligible for Medicare-covered services from other providers.
- Emergency and urgent care services are handled under Medicare's emergency-care rules — please call 911 for emergencies.
HSA & FSA
HSA and FSA accounts are welcome.
What HSA/FSA usually covers
- Office visits and E&M services
- Prescribed medications
- Laboratory tests
- Medically necessary treatments and injections (plan-dependent)
What may not qualify
- Non-prescription supplements
- Wellness or lifestyle services without a diagnosis code
- Cosmetic treatments
Eligibility is determined by your HSA/FSA plan administrator — please confirm with them if you're unsure.
Good Faith Estimate
You have the right to a Good Faith Estimate.
Under the federal No Surprises Act, uninsured patients and self-pay patients may request a written estimate of the cost of services before care is provided. Ask us and we'll prepare one for you.
Billing documents
Superbill & direct-pay acknowledgment.
These two documents are billing-specific. For intake, consent, records release, and all other clinical forms, see the Patient Forms page.
Superbill (blank template)
An itemized receipt template with fields for patient information, diagnoses, and services rendered. We complete this for you after each visit — the blank template is for your reference.
Acknowledgment of Non-Insurance Coverage
Confirms your understanding that we're a direct-pay practice, that certain services aren't insurance-billable, and that you may request a superbill for possible reimbursement.
Frequently asked
Billing questions we hear most.
Why don't you take insurance?
Because we want to give you longer visits, faster access, and the treatments you actually need — not what an insurance contract allows. In-network practices are typically limited to short visits and pre-approved treatments. Our model keeps decisions between you and your provider.
Will my insurance reimburse me for my visit?
It depends on your plan. If your plan includes out-of-network benefits and you've met (or are working toward) your out-of-network deductible, the answer is often yes for standard office visits. For ozone, IV, LDA, peptides, and IASIS: no — insurance does not reimburse for these.
How do I check my out-of-network benefits?
Call the member services number on the back of your insurance card and ask: "What are my out-of-network benefits? What is my out-of-network deductible? What percentage do you reimburse for a Category 1 CPT code from a nurse practitioner?" Write down the reference number they give you.
Do you take Medicare or Medicaid?
No. The provider is opted out of Medicare effective 05/11/2026. Medicare beneficiaries sign a Private Contract before receiving non-emergency care. We do not participate in Washington Apple Health / Medicaid.
Can I use my HSA or FSA card?
Yes for eligible services. Office visits, prescribed medications, and most medically necessary treatments qualify. Non-prescription supplements typically do not. Your HSA/FSA administrator is the final authority on what's reimbursable.
What if I can't afford my full visit?
Please talk to us. We keep membership pricing accessible and offer discovery calls at no cost. We would rather find a way to make care work than have you go without.
Do you offer payment plans?
For larger treatment courses (peptides, IV series, LDA protocols) we can spread payments across the treatment course. Ask us before you book — we'll work with you.
What if I have questions about my superbill?
Send us a secure message from the Patient Hub or call the front desk at (509) AMO-TCPH (266-8274). We're happy to walk through your codes with you or issue a corrected superbill if something is missing.
Still have questions about billing?
Send us a secure message, call the office, or ask us during your discovery call. We'll walk you through exactly what to expect for your specific situation.