Forms and FAQs

Forms and FAQs

You can make an appointment at Alaska Family Dermatology by:

We are located at:
3340 Providence Drive
Suite A358
Anchorage, AK 99508

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For questions about billing, call (844) 824-9922.

You may also call our office at (907) 268-2067 and we will take a credit card payment over the phone.

We do not take checks over $250.  Any charges over $250 require payment with a credit card, debit card, or cash.  All returned checks will be charged a $30 processing fee.  Checks may be mailed to:

Alaska Family Dermatology attn: Billing
3340 Providence Dr. STE 358
Anchorage, AK 99508

You can access your records by visiting the Onpatient Portal at Onpatient.com..  If you do not yet have access to OnPatient, sign up at https://www.onpatient.com/ or Contact Us.

Once you have access to onpatient, you will be able to access your billing records in onpatient under Billing ->Payment History.

You could be receiving a balance due statement for one or several of the following contributors:

  1. The provider is OON (out of network) for the insurance plan you are covered under
  2. Your insurance plan was inactive at the time of service or is currently inactive
  3. The services claimed are not covered by the insurance company
  4. The insurance company has determined that the services claimed were pre-existing and therefore ineligible for coverage
  5. Certain insurance plans have high deductibles which must be met before coinsurance begins.  We are considered a Specialist under most plans and you should reference that part of your plan when learning about your financial responsibility for Office Visits and Procedures.

If you have specific questions regarding the reason for the lack of coverage, we strongly recommend that you reach out to your insurance provider for further support. For your convenience.

Call 866-465-4886 to reach our Patient Billing Services Support Team MondayFriday 5am-5pm PST.

We can share medical records with you via OnPatient.  If you do not yet have access, sign up at https://www.onpatient.com/ or Contact Us.

Once you have access to OnPatient, you will be able to access your medical records in OnPatient under “Appointments”.

To obtain access to Onpatient, we must send an invitation to the email you have registered with our office. Within 7 days of the invitation being sent by our office, you must click on a link in the email and register an account with a username and password. Store the username and password in a safe space. If you do not register within 7 days, we can send you another invitation if you call our office requesting it.

Please call 866-465-4886 with the following information and we will respond as soon as possible

  • Your Health Care Provider’s Name
  • Your Name (first and last)
  • Your Date of Birth
  • The Date of Service
  • Procedure in Question & and Amount of Charge
  • Date of Payment
  • Method of Payment  (Cash, Check, Credit Card)
  • Payment Details (for example, if you have paid by check, please indicate the check number, date you mailed the check, and the address you mailed the check to)

In accordance with Alaska law 7AAC 860.020 & 7AAC 860.030, we are posting the Fee Value for our most common
office visit charges & procedures. Note: this is the Fee Value charged, not the negotiated rate for your insurance
company. It also may differ from the Cash Pay rate. This is not a guarantee of your visit charges, only an estimate. If you
would like to receive a good faith estimate, you must provide in writing to Alaska Family Dermatology, LLC the following:

  1. Patient’s full name
  2. The Medical Condition or service for which the patient is seeking medical treatment
  3. The method by which the patient prefers to receive the estimate, including a written letter
    mailed to the patient, by electronic means, or orally
  4. The Patient’s Contact information, including the patient’s mailing address, electronic mail
    address, or telephone number
  5. A parent or guardian of a minor patient must provide the above in writing to Alaska Family
    Dermatology, and in addition:
  6. The parent or guardian’s contact information, including the parent or guardian’s mailing
    address, electronic mail address, or telephone number.
    “CPT©2021. American Medical Association. All rights reserved. CPT is a registered trademark of the
    American Medical Association. The CPT codes are provided ‘as is’ without warranty of any kind. The
    AMA specifically disclaims all liability for use or accuracy of any CPT codes.”
CPT Code Description Fee Value
99202 Office Patient visit New $259.00
99203 Office Patient visit New $325.00
99242 Office Consultation/Referral $325.00
99243 Office Consultation/Referral $358.00
99212 Office Visit established $165.00
99213 Office Visit established $226.00
17110 Destruction Benign lesion 1-14 $303.00
17000 Destruction premalignant lesion $230.00
11102 Tangential biopsy of skin (shave) $325.00