Urgent Care Billing: 3 Things You Should Know

Sometimes, your health takes a turn out of the blue. These changes often strike on weekends or other times when your doctor doesn’t have office hours. So, what can you do?

Most people would suggest that you go to urgent care. These facilities can see to your medical needs quickly, without needing an appointment. They also run for 24 hours daily.

Hopefully, your urgent care can provide treatment for your problem. But afterward, you’ll receive urgent care billing. This bill often differs from other medical billing procedures.

Fortunately, we can help you navigate the differences! We’ll explore the three things you need to know about urgent care billing below.

  1. The Urgent Care Billing Process Begins at the Front Desk

Generally, urgent care facilities don’t run on appointments. So, they don’t have your billing information on file unless you’ve been there before.

So, a receptionist will ask for essential information when you walk in. This information includes basic personal information, such as your name, address, and the reason for your visit. But, it also includes billing information, such as:

  • Name of your insurance company
  • Policy number
  • Primary care provider

Billing codes for urgent care providers require you to sign an affidavit for financial responsibility before you receive medical treatment. This way, you become financially responsible in case they can’t contact your insurance provider.

  1. Transmitting the Claim

The final part of the billing process comes after your medical procedure’s completion. Once the facility codes your procedure and checks it for regulatory compliance, they send your bill to you.

Alternatively, they may send your bill to your insurance provider. An urgent care follows this route if you have a valid insurance policy.

When your provider receives the bill, it will include critical information about your diagnosis, treatment, and any included charges. This level of detail ensures a streamlined reimbursement process. This way, urgent care can quickly receive the reimbursement it needs.

Most medical billing procedures send your bill electronically. You may receive a copy for your own records. Alternatively, you may receive a charge if you have an insurance co-payment.

  1. The Cost of Urgent Care Billing

Generally, urgent care billing is often more expensive than a standard medical billing process. This extra expense usually stems from after-hours care.

When an insurance provider receives the bill, they have two options. First, they can pay the bill in-house. Alternatively, they can outsource the payment to a billing agency like Med USA RCM.

Doing this can save insurance providers significant money on hardware and software costs. It’s often more convenient for the insurance provider since it protects your business from billing errors.

Find the Urgent Care Services You Need!

Urgent care billing can be tricky if you don’t know what to expect. Fortunately, these three facts can prepare you for the bill when it arrives. Use this information to find the urgent care services you need!

We hope you enjoyed this article! If so, check out our other medical content today.

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