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Pay Your Bill Online

To make a payment click here.

To better serve our patients, we have combined the billing services for the following dermatology practices. You will receive a single statement for any of our practices.


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
  • Silver Falls Dermatology

Frequent questions

Q: 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.

Q: 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 24325, Seattle WA, 98124. We do have a NSF fee of $25.00.

Q: 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.

Q: 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.

Q: Have you billed my insurance? We will bill your medical claim as courtesy, to your primary and secondary insurance plans. If you did not provide us with correct insurance information upon check-in, you will be billed for the services rendered. We will bill your claim upon receipt of correct insurance information within 60 days of your appointment. If your insurance information is correct and your plan has denied your claim, please contact your plan first to discuss your claim. Unresolved claim issues preventing the claim from processing will remain in patient responsibility until the claim is reprocessed as per your plan benefits. For billing questions, please contact our Billing Office at 425-409-0066 Monday-Friday 8am-4:00pm.

Q: 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.

Q: 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.

Q: 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.

Q: 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.

Q: 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 precaution 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.


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

Co-Insurance:   A percentage of the insurance benefits that you are responsible for.

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 status and renewal dates.

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