Insurance
Providing quality and personalized care to each of our patients continues to be our priority.
At this time, we are in-network with:
PacificSource
OHP-Open Card only; you may opt to pay out of pocked for non-covered services for this plan (ie: extraspinal adjustments and/or manual therapy, depending on the circumstances). Please have your provider fax a written referral, to best coordinate care: (541) 897-9960.
We do not bill out-of-network claims with Trillium.
According to Oregon State Law (OAR 410-120-1280), a provider may not seek payment from the client for any services covered by Medicaid fee-for-service or through contracted health care plans. We recommend that you contact Trillium to attempt to find an in-network provider for perinatal chiropractic services.
There have been significant mid-year changes for chiropractic and other ‘alternative care’ services with Providence and Regence Blue Cross Blue Shield. Due to the significant changes to provider reimbursement and the changes in management of patient benefits, we are no longer in-network with Providence. Termination of our contract with Regence BCBS will be effective 12/30/25 and we will not be taking NEW patients with this insurance. Patients with BCBS that have already been established will be able to bill their insurance until 12/30/26; however, your covered benefits may have changed.
Unfortunately, we are unable to see patients with Medicare coverage.
Because of the variety of tissue types that can be involved, I utilize a variety of modalities which may or may not fall under different insurance benefit categories.
Chiropractic Adjustments 98940, 98941, 98943: manual or instrument assisted manipulation of the joints
Soft tissue manipulation 97140, 97124: massage specific to your condition, joint mobilization, cupping
Therapeutic activities 97110, 97530: Active stretching, home exercises ranging from breathing dynamics to activation of specific muscles, dynamic cupping
Examinations (new patient, new problem, monitoring progress), in-depth gait analysis: 99202, 99203; 99212, 99213, 99214: I am required to complete an exam for new body regions that may be directly or indirectly related to get to the root of your current concerns, a new injury, or to monitor progress of your current condition and update our treatment plan as necessary.
Your insurance policy is a contract between you and your insurance company. We cannot guarantee payment of your claims by your insurance company.
Please let us know as soon as there is a change in your insurance coverage. Restoration Chiropractic DOES NOT pre-check benefits. We highly recommend that you verify your understanding of your benefits prior to your first appointment and/or when your insurance has changed throughout the year. If you have any questions on your coverage and/or benefits, please contact your insurance company’s ‘member benefits’ line.
Please utilize our Insurance Questionnaire regarding specific codes to help guide your conversation with your insurance service.
We can bill your PIP coverage if you have been in a motor-vehicle accident, if it is not work-related.
If you do not have chiropractic and/or physical therapy benefits, we do offer a 25% time of service discount for not utilizing our insurance billing services.