4140 Factoria Blvd SE Ste A 

Bellevue, WA 98006

Clinic policies

Emergencies

If there is an emergency, please contact 911 or go to the closest Emergency Department immediately instead of calling the office.

If we are not immediately available by office telephone (425.655.0700), clients are asked to please leave a voice message and we will return their call as soon as possible.

Calls are generally returned within one business day. Please always leave a phone number where the client can be best reached.

Please note that email should never be used for urgent or emergency issues. The email is not a confidential means of communication, and we cannot ensure that email messages will be received or responded to in a timely fashion.

Electronic mail (email) use

Please be aware that personal email is not a confidential means of communication.

It is highly recommended to use the Patient Portal for emails containing personal medical information.

The clients should receive an invitation to join the Patient Portal along with instructions on how to access it when they are added to the clinic schedule.

Financial - Medicare recipients

Dr. Piker is participating provider with the Medicare and will bill the Medicare for the services provided.

The clients will be responsible for the remaining non-covered portion of the bill depending on their plan(s).

We collect the refundable fee for a visit at the time of scheduling. 

We will only charge your credit card in case of late cancellation, late arrival, or missed appointment. Please see the Cancellation / “No-Shows” policy for details.

The clients will also be required to sign the Advance Beneficiary Notice of Noncoverage (ABN) form prior to procedures informing you of the estimated costs in case Medicare does not cover a particular procedure. 

Financial - Non-Medicare recipients

With the exception of Medicare, Dr. Piker does not contract with insurance companies and does not file insurance claims on the client’s behalf.

As such, Dr. Piker is considered an “out-of-network provider” for insurance companies. 

We collect the full payment for a visit at the time of scheduling appointment. 

If clients wish to be reimbursed for visits with Dr. Piker, they may request the so-called “superbill” containing information (CPT and diagnosis codes) needed for reimbursement from insurance company.

The clients bear sole responsibility for knowing specific rules of their insurance carrier.

It is highly recommended that clients consult their insurance company regarding coverage of out-of-network providers prior to scheduling appointment. 

Cancellations and "No-Shows"

Life happens.

Depending on the circumstances, the clients are financially liable for charges incurred for late cancellations, late arrivals, or missed appointments as they are not covered by either private or government insurances. 

We do not double-book or stack appointments as our clients deserve undivided attention and adequate time during the visit.

When someone cancels with little or no notice or simply do not show up for their appointment, that time is wasted and there is no one to fill the empty slot.

Therefore, we implemented the following policy regarding last-minute cancellations and no-shows: 

Life happens.

Depending on the circumstances, the clients are financially liable for charges incurred for late cancellations, late arrivals, or missed appointments as they are not covered by either private or government insurances. 

We do not double-book or stack appointments as our clients deserve undivided attention and adequate time during the visit.

When someone cancels with little or no notice or simply do not show up for their appointment, that time is wasted and there is no one to fill the empty slot.

Therefore, we implemented the following policy regarding last-minute cancellations and no-shows: 

Requests to cancel or reschedule appointments can be made either by telephone (425.655.0700) or email ([email protected]):

  • full (100%) refund with at least 24-hour notice before appointment time 
  • half (50%) refund with notice less than 24-hour before appointment time (not including weekends and standard holidays)
  • no (0%) refund if you miss your appointment without prior notice (“No-Show”)
  • if you arrive more than 15 min late for 30 min appointment or more than 30 min late for 90 min appointment, you will be considered “No-Show”

The “24-hour” rule does not include weekends and standard holidays:

  • for example, if an appointment is on a Monday, the cancellation request must be made by the same hour on the preceding Friday

If you would rather reschedule appointment instead of cancelling it, we will gladly apply the amount of refund to the next visit

Hours

Mon    12:00pm - 4:00pm

Tue     9:00am - 4:00pm

Wed    10:00am - 4:00pm

Thu     9:00am - 4:00pm

Fri       9:00am - 1:00pm

Sat      Closed

Sun     Closed

4140 Factoria Blvd SE Ste A 

Bellevue, WA 98006