Patient Information

Patient Portal

Access your care team, right from your computer. Our online portal puts patients in direct contact with our office at your convenience.

  • Request prescription refills
  • Get lab results (you may also receive a call from your provider)
  • Review visit summaries and visit history
  • Ask medical questions

Check your email for sign-up instructions. If you cannot find the email invitation, please call your provider's office for assistance.

» Access the Patient Portal by clicking here

Notice to Patients

Our practices comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

ATENCIÓN:  si habla español, tiene a su dispo     sición servicios gratuitos de asistencia lingüística.  

CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.   


ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.  Звоните 1-503-362-8385 

We provide:

  • Free aids and services to people with disabilities to communicate effectively with us, such as:
  • Qualified sign language interpreter
  • Written information in other formats (large print, audio, accessible electronic formats, other formats)
  • Free language services to people whose primary language is not English, such as:
  • Qualified interpreters
  • Information written in other languages

Notice of Privacy Practices

Your health information includes information about your health history, health status, symptoms, examinations, test results, diagnoses, treatments, procedures, prescriptions, related billing activity, and similar types of health-related information.

We are required by law to notify you about the ways in which we may use and disclose health information about you and to describe your rights and our obligations regarding the use and disclosure of that information. 

Confidential Hotline

Employees, providers, patients, and teammates can report compliance concerns safely and anonymously.

  • Workplace issues
  • HIPAA and security
  • Coding compliance
  • Stark laws or anti-kickback violations
  • Any other sensitive subjects

Safe Hotline is an independent third-party service that can be used to report concerns for any of our locations. All reports received will be submitted exactly as they are received, and your identity will not be disclosed without your permission.

The hotline is easily accessed by phone, text, or online. Our company code is required with every report so that concerns can be properly directed.

  • Call or Text
  • Online
  • Company Code (required)

Once a report is made, the person is given a one-time-key code that can be used to check the status of the report.

The compliance hotline is not an emergency number and should not be used in place of 9-1-1.

Patient Billing

To better serve our patients, we have combined the billing services for the following dermatology practices. You will receive a single statement for each practice at which you obtain care or services.

Silver Falls Dermatology, LLC DBA:

  • Pacific Dermatology and Cosmetic Center
  • Pacific Dermatology Surgery Center
  • North Sound Dermatology
  • Rosario Skin Clinic
  • Seattle Skin & Laser
  • Island Dermatology
  • Puget Sound Dermatology
  • Pinnacle Dermatology & Skin Rejuvenation
  • Silver Falls Dermatology
  • Birch Bay Dermatology

Definitions of Terms

Copay: A dollar amount contracted between you and your insurance company that is due at the time of service.

Co-Insurance: A percentage of the insurance benefits that you are responsible for. After the deductible is met, the Co-Insurance is a percentage of the allowed insurance benefit that the member is responsible for paying.

Adjustment: The difference between the charge amount and the contracted insurance allowed amount for the services rendered. The patient is not responsible for this amount.

Deductible: An annual amount which the member is responsible for meeting before claims will begin to pay by the plan. Services applied to unmet deductible are due to the provider of service. Please contact your insurance directly for deductible details regarding the status and renewal dates.

Billing FAQ

Why does it say Silver Falls Dermatology on my bank statement?
Silver Falls Dermatology, LLC is our legal name and will show on receipts and bank statements.
What options do I have to pay my bill?
You can pay online by clicking on the Phreesia link above. We accept all major debit and credit cards. You can also call our billing department at 425-409-0066 and follow the prompts to make a payment over the phone. If you want to pay by mail, please mail your check to PO BOX 741825, Los Angeles, CA  90074-1825. We do have an NSF fee of $25.00.
Why is my payment not shown?
Payments made in full prior to the statement generation date are not reflected on this statement. Only remaining balances due are shown with each statement generation. Additionally, since this is a combined statement for any of our practices, your patient payment may be applied to the oldest date of service first.
Who do I contact if I have a billing question, or if I cannot pay in full?
Please call the Billing Office at 425-409-0066 if you wish to make payment arrangements. For your convenience, we do accept CareCredit. CareCredit payments must be made in-person or online for services less than 90 days old.
When will I get my bill?
After your visit, we will bill your insurance. Statements are sent after your insurance has processed all the charges. Once the processing is final, a statement will be generated and mailed to the address on file. If there is no balance due from you, you will not receive any notice.
Will I receive multiple statements for the same visit?
Depending on the services rendered, the claims may be sent to your insurance at different times. For example, pathology charges are sent out separately to office visits and procedures. Other situations that can affect this are: claim denials, inaccurate insurance information, etc. If insurance denies any of your services, our billers work with your plan to attempt to get the claim paid. This can also result in some charges being billed out before others.
I was seen months ago, why am I just now receiving a bill?
The insurance cycle varies with each plan. The usual turnaround for a clean claim is 30-45 days. Some insurances have a 60-day turnaround. This is the turnaround time for claims that pay accurately on the first attempt. Statement and claim delays are situational. For example, if your insurance denies a charge, we will receive notice of the denial from your insurance. Our billers will then initiate an appeal. It is common for many insurance companies to take up to 90 days to process appeals; some may take longer.
Why does it look like you billed duplicate charges?
Pathology charges can look like duplicate charges; however, they have a special indicator on the end of the code called a modifier, -26 and -TC. You will almost always have two pathology charges, one for each component. The charge with a -26 on the end is the professional component, which means your specimen was viewed and interpreted by our dermatopathologist. The -TC component is the technical component, which represents the cost of lab equipment and supplies used to process your specimen.
Why am I receiving a bill from another lab?
If our dermatopathologist needs additional stains for precise diagnosis, we will use an outside pathology laboratory. We have taken precautions to make sure that any lab we choose is in-network with your insurance. There is a total cost associated with your labs and pathology. This total cost is split between each entity that does each component. This is to ensure that you are not getting billed for the same thing twice. If there is any patient balance after insurance, you may receive a bill from any of the above laboratories.
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