Medical Billing

Follow the directions on the correspondence or contact Systems Design West at (800) 238-9398.

There are no out-of-pocket costs for District residents, property owners or business owners for our ground and marine services!

We credit your out of pocket expenses by the property taxes you pay as a business or homeowner or renter. There are a few times when you might receive correspondence from Systems Design West, our billing company in Silverdale, WA:

  1. An inquiry for insurance information.  Be sure to check the reason for the correspondence. In order to confirm your status you may be requested to sign a form allowing us to bill your insurance or verify your status as a resident.
  2. You did not give a local address when you were transported and the billing company thinks you are not a local resident.
  3. You have not responded to inquiries of the billing company.  In order to zero balance bill, we must confirm that you are a resident and that we have your current insurance information if you have any.
  4. If you still have questions, please call the billing company at the number listed on their correspondence. We’re glad to serve you.

If you received a bill from us because you are not a resident of the SJCPHD, we are glad to work with you to resolve your billing issues.

  1. We will work with you to get your bill covered by your insurance company.
  2. We have a charity care program available for those who are in financial difficulty.
  3. We’re a good neighbor and we’re islanders.  We understand and are on your side to help.
  4. If you still have questions, please call the billing company at the number listed on their correspondence. We’re glad to serve you.