Questions/FAQ

What About Electronic Health Records, the Patient Portal, and ChARM EHR?

Like many health practitioners in the United States I have integrated Electronic Health Records (EHR) software into my practice. The system I use is called ChARM EHR. Aside from removing both the time delay of using the US Mail and the security risk of using regular email, the ChARM system allows us to post important items to your secure, individual patient portal for your viewing at your convenience. You will have access to: messages from me and my staff to you, and messages from you to us; your payment receipts; your lab results, treatment plans, and lab orders; and other confidential patient health documents.

ChARM is fully HIPAA compliant, easy to use, and everything on your portals is available to you at any time. Over the past two years, Charm EHR has lived up to my expectations and has made things work smoothly and securely for my patients and me. I am sure you will find the ChARM Patient Portal easy to navigate and user friendly.  If you have questions, please e-mail or call my office (206-760-9266) and my staff will help you.

How do I login to my Patient Portal and What if I forget my login password?

To login to your Patient Portal click HERE.  If you forget your login password click HERE and then click on Forgot Password? in blue letters just under the Sign In boxes on the right side of the screen.

Does Julie take insurance?

While Julie does not take any form of  insurance, she does provide a detailed receipt for each appointment that includes the necessary insurance codes to submit for (possible) reimbursement. It is up to you to contact your insurance company to find out if it covers the services you receive from Julie.  Be aware that most insurance companies only reimburse for in-office appointments, some are now reimbursing for telephone or other remote consultation, and most do not reimburse for nutritional supplements. Please contact your insurance company to get a reimbursement form that you will fill out and submit (along with the receipt Julie will supply you with) to your insurance company. You will need to include Julie’s EIN on your insurance form: EIN 46-1564225.  

** Please make sure that your insurance understands that you have already paid for the service.  If they are processing a reimbursement to you, they must send the check to you, not to Julie! **

Does Julie take Medicare/Medicaid?

Julie does not take Medicare/Medicaid. If you are eligible for Medicare and want to become a patient, please contact the office.

How does Julie charge?

Julie’s FEES: 

New Patient set-up fee: There is a one-time non-refundable New Patient set-up fee of $100 (one hundred dollars).  Fifty dollars ($50) of this set-up fee will be credited towards your initial (first) consultation if this consultation takes place within four (4) months (120 days) of this payment.

Julie’s FEES are based on the actual time she spends working on your case.  The rate is $50 per 15 minutes, or $200 per hour for consultation. In-office therapies, such as injections, are charged depending on type of treatment. Full-fee payment is due at the time of service. Phone calls lasting more than 5 minutes are prorated from my consultation rate ($50 per 15 minutes).

The actual time spent and billed for includes these timed components: talking with you; reviewing your previous medical history; reviewing your entire case; writing your treatment plan(s); calling in prescriptions; consultation, per your request, with other health practitioners; and any other work required to give you the highest quality healthcare experience I possibly can. We accept cash, check, MasterCard and VISA (not American Express). We are qualified for the use of HSA plans. 

Payment is due at the time of service.  As noted above, we do not bill insurance but will provide copies of receipts complete with all insurance codes necessary for patients to submit to their own private insurance companies for reimbursement.

What if I have more questions after the first appointment?

It is common to have questions and a follow-up appointment(s) after the initial appointment. Especially as it is often necessary for you to get additional lab work after your first consultation (see my Becoming A Client page). We cover a lot of information at the first appointment and many people require clarification afterwards.

Are the lab tests that Julie orders covered by my insurance?

The Patient Protection and Affordable Care Act (PPACA), commonly called the Affordable Care Act (ACA) or colloquially Obamacare, has caused changes in health insurance plans in the USA. Some of these changes affect the coverage of lab tests.  For instance, some insurance plans have high deductibles, and some plans decline to pay for lab tests that are ordered by an out-of-network provider or have a limit on how much they will pay for labs.

You will need to find out from your insurance provider if and how your insurance might cover the lab tests that Julie will order for you.

Questions to ask your medical insurance company:

  • Are lab tests ordered by an out-of-network provider covered?
  • Is there a limit on payments for lab tests?
  • What is your deductible?

You can use Directlabs for lower cost lab work regardless of insurance.  Be aware that labs purchased through Directlabs may or may not be reimbursable by your insurance. (There is a 10% off coupon code on their Facebook page.)

How do I contact Julie?

E-mail: julie@npjulie.com
Phone: 206-760-9266
FAX: 206-760-9807

Office Address:
4757 36th Ave. S, Suite 2
Seattle, WA 98118