Billing Practices

Billing Practices

Many people are often confused about the billing process in the medical field as a whole, and at an Urgent Care in particular.

The process in not as complex as you might think. Scioto Urgent Care will submit your insurance information to our billing company, Advanced Billing Concepts, Inc., immediately following your visit. ABC will work hand and hand with your insurance carrier.

Following your visit, your insurance carrier will provide you with an Explanation of Benefits (EOB) regarding your visit. It is as simple as that.

Any questions that you have with regard to your bill, independent of your insurance carrier, can be directly referred to Karen at ABC, Inc. at 866-292-5034 .

To ensure accurate billing, please present your insurance card and a photo ID at the time of registering. We require that you pay your co-pay, co-insurance, or pay in full prior to your visit or at the time of service. For your convenience MasterCard, VISA, Discover, and cash are accepted. We do not accept personal checks.


FREQUENTLY ASKED QUESTIONS ABOUT BILLING:

Q: What is the difference between POS, PPO, and HMO?

POS – A Point of Service plan is where the member designates a primary care physician (PCP) to manage their health. All referrals and orders must originate from that physician.

PPO – (Preferred Provider Organization) Provides care through a network of Hospitals, doctors, and other medical professionals. When patients utilize health care providers within the network, they receive a higher benefit and pay less money out of their pocket. Services out of network may still be covered, but often at a reduced benefit level.

HMO – (Health Maintenance Organization) Requires a patient to select a Primary Care Physician to coordinate their care. Most HMO’s provide care through a network of hospitals, doctors, and other medical professionals that as a patient, you must use to be covered for that service.

Q: What does “in-network” and “out-of-network” mean?

A: If you receive your health care services from a hospital, physician or other health care services that participate in your health plan, they are often referred to as “in-network.” Hospitals, physicians, and other health care providers who do not participate in your health plan may be referred to as “out-of network.”

Q: What is Scioto Urgent Care’s Financial Responsibility Policy?

A: Scioto Urgent Care’s financial responsibility policy is as follows:

Scioto Urgent Care is committed to providing you with the best possible care. If you have insurance, we are anxious to help you receive your maximum allowable benefits. In order to achieve these goals, we need your assistance and your understanding of our payment policy.

Payment for services is due at the time services are rendered for self-pay patients. If you have insurance, and can provide us with a current insurance card, then the required co-pay would be what you are responsible for at the time of your visit. We will be happy to process any insurance claims for you and we accept insurance assignment with our in-network providers.

Ultimately, your insurance is a contract between you and your insurance carrier. We are not party to that contract. Any service that is not covered by your insurance company, for whatever reason, is your financial responsibility.
I hereby acknowledge that I have read this document and understand my financial responsibility for services provided for myself and other patients whose names I have provided to appear on my account with Scioto Urgent Care.

A copy of this policy can be downloaded off of our website HERE.