A: Most major insurance companies will cover the office visit after either a copay or deductible has been either collected or met. For further questions please either contact your insurance carrier’s member services or our clinic will be happy to look up your Urgent Care benefits for your visit.
A: Non DOT drug screens are done anytime before 7 pm. And for DOT Federal Drug Screens the cut off is before 5 pm.
A: We are a walk in facility so no appointment is necessary. Just walk in at your convenience.
A: We bill out as an Urgent Care Facility.
HMO and PPO plans generally have provider books or lists that show you which doctors are in-network for your plan (meaning which doctors have contracts with your insurance plan). By choosing a provider from your insurance list, you will obtain the highest benefit your policy offers. If you choose to see an out-of-network physician (one that does not appear on their list), generally the benefit is less (maybe none), meaning higher patient financial responsibility. Every insurance plan is different, so we encourage you to check your insurance before your appointment.
You should contact your insurance company with information on your exact service date. If you are told the claim will be reprocessed, please ask how long it will take and then advise us of the information by calling your clinic.
Often times, an insurance company will update their records on an annual basis. This includes verifying that you and/or your dependents are covered under just one health plan. This information can be updated only by the insured, not us. If we submit a claim and it is denied for this reason, your statement will reflect that additional information is needed from you. You will then need to call your insurance company and answer their questions over the phone. You will also need to advise them to reprocess any claims they have denied for this reason. We will continue to bill you for these services until your insurance company has processed your charges.
A contracted fee is a term used by an insurance company to refer to a dollar amount that a physician can collect for a specific service. This amount has been agreed upon by the insurance company and the physician. For example, we may bill $50.00 for a particular procedure, but a particular insurance company has contracted a fee of $40.00. This means that $10.00 is “not allowed” and therefore not collectible; the maximum amount we can collect is $40.00.
A: Yes. We are able to perform x-rays after consulting the provider.
This is the balance your insurance deems is your responsibility per your insurance contract.
- Deductibles are paid by the member and must be satisfied each year before insurance pays. Each family member usually has a separate deductible.
- Co-Payments are paid by the member each time you visit the doctor or use any medical service.
- Co-insurance requires you to pay a percentage of your visit fee.
- Maximum out of pocket expense is the most you will have to pay before your insurance begins to pay 100%