FAQs | Services, Insurance, Billing (2024)

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We provide patients with quick, quality medical care, and we also strive to create a comfortable and informative experience that helps take the stress out of your life.


Take a look at the questions our patients ask most frequently so you are prepared to visit us when you need to get back to being well, now.


For additional questions not addressed on this page, including ourprivacy practicesandCOVID-19, chat with us using our chat feature below orcontact us.

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FAQs | Services, Insurance, Billing (2)

General FAQs

You are welcome to simply walk into any WellNow location. No appointment and no referral is required. Simply walk in or, if preferred, you can check in online at aWellNow centerof your choice.

Please note, masks are recommended. We apologize if you experience longer than normal wait times. We will do our best to see you as quickly as possible and appreciate your patience and understanding.

Patients are typically seen within 10 minutes of registration and are usually treated and on their way home within 45 minutes. Visit ourhomepageorlocations pagefor the most up-to-date wait times.

When visiting one of our locations, please bring your health insurance card (if you plan to useinsurance), photo ID and a list of any current medications. We will make a copy of this information for our files. If you have secondary insurance, please bring your information with you and we will submit it on your behalf.

The Health Insurance Portability and Accountability Act (HIPAA) protects patients from disclosure of confidential clinical information. With your permission, we will send a summary of your visit to your doctor(s).

WellNow is equipped to treat a wide array of non-life-threatening injuries and illnesses, including sprains, strains, burns, lacerations, rashes, bronchitis and pneumonia. We have X-ray technology at all locations to help us better evaluate any injuries, and we offer on-site stitching. We also have point-of-care lab testing which allows us to perform a variety of tests directly at our facilities.

However,you should go to a hospital emergency room if you are experiencing a serious medical condition or symptom(including severe pain) caused by an injury or illness. If you have a true emergency, call 911 immediately. Signs of a true emergency include, but are not limited to:

  • Chest pain or signs of a heart attack that last two minutes or longer

  • Signs of a stroke, like sudden onset of numbness in any extremity

  • Severe shortness of breath

  • Heavy bleeding or bleeding that doesn’t stop after 10 minutes of direct pressure

  • Poisoning

  • Life-threatening bone fractures

  • Major injuries, such as head injuries that result in loss of consciousness

  • Unexplained drowsiness or disorientation

  • Loss of consciousness, hearing or vision

  • Coughing up or vomiting blood

  • High fever (104 F or higher for a child; any fever for an infant less than 6 months old)

  • Suicidal or homicidal feelings

  • Seizures

We offer the option to all patients seeking urgent care services or COVID-19 testing to check in online and reserve their spot. To do this, visit ourlocations page, select the location you plan to visit and click the option for “Schedule Your Visit.” You will then be directed to a registration page with instructions on how to complete your check in.

WellNow is proud to support the communities we provide care to through local partnerships, sponsorships and regional events. Our WellNow Cares Community Program is committed to keeping our communities happy and healthy as part of our mission to help make it all better. To learn more about this program and how you can partner with WellNow, visit ourcommunity page.

Antibiotic stewardship is a promise to prescribe antibiotics responsibly. At WellNow, we are proud to be part of the Antibiotic Stewardship Commendation Program. Our providers are committed to only prescribe antibiotics when it is necessary in the treatment of your injury or illness, and not prescribing antibiotics when they will not help your injury or illness.

Our goal is to get you on your way to being well, now. As your urgent care provider, we work to provide the best possible treatment for your condition. If an antibiotic is not needed, we will explain this to you and will offer a treatment plan that will help.

If interested in being a steward of your health when you have a cough, sprain or other urgent care need, tell the provider you only want an antibiotic if it is necessary. If you are not prescribed an antibiotic, ask what you can do to feel better and get relief from your symptoms.

Learn more about the Antibiotic Stewardship Commendation Programhere.

Services Available

COVID-19 PCR testing is available at all WellNow locations. For more information about COVID-19 testing at WellNow, visit our COVID-19 service page.

Yes, all of our locations have industry-standard X-ray equipment on-site. After a visit, patients are welcome to review X-ray images with their primary care physician or specialist. Our patients will never receive an additional charge from the radiologist who reads the X-ray taken on premises — the charge is either included in your urgent care claim to your insurance carrier or in your private fee. For certain ailments, a patient may be sent for an ultrasound, CT scan or MRI which will be done off-site, resulting in billing that is generated by that organization.

Yes, all locations offer pre-employment, school, sport, camp and collegiatephysicals.

No, patients cannot get prescription refills for chronic medical pain through WellNow Urgent Care. Chronic pain management must be handled carefully by a patient’s primary care provider and/or specialists.

Occupational Medicine at WellNow

No. When you set up an account with WellNow Urgent Care, same-day reporting will be custom to your request. We can send results via fax or email.

Organizations do not need a service agreement in place prior to obtaining occupational medicine services for employees. However, we do encourage companies to establish service agreements with us as they help to delineate which services your employees need as well as streamline communication for billing and reporting. With a service agreement in place, we can provide follow-up occupational medicine services for workers’ compensation cases. For walk-in occupational medicine patients whose employers do not have service agreements, payment is required at the time of service.

Yes, our providers in all of our locations are on the National Registry list.

Yes. Not only are we here to perform the services our clients need, but we assist them with staying current with the required guidelines and compliant with the required agencies.

Yes, all of our collectors are DOT drug and alcohol certified.

Yes. When injuries occur in the workplace, WellNow’s occupational medicine specialists can provide the treatment employees need to help them get back to work quickly and safely.

Yes, our occupational medicine program functions as a full-service occupational health clinic.

Insurance Questions

Yes, and rates are affordable for those without insurance — including rates for simple in-house lab tests. Additional procedures such as stitches, incision and drainage, X-rays, IV fluids or medications will result in an additional charge to the base visit. We accept payment via credit cards at the time of service.

Yes, all locations accept Medicare and Medicare Advantage plans, as well as Medicaid and most managed care options.

We work with all insurance plans.

Copayments are determined by your insurance plan — please refer to your policy benefits for more information.

Please bring with you:

  • Insurance card

  • Valid picture ID

  • Form of payment for copays

Please call your carrier’s member services (the phone number should be listed on the back of your insurance card) or refer to your policy benefits to determine your out-of-network treatment options and your financial responsibility.

No Insurance? No problem.

WellNow Urgent Care offers transparent, self-pay pricing at an all-inclusive rate of $165 for patients without insurance. We accept cash, credit cards and debit cards.

*Our insurance policies are subject to change.

Billing

Unlike some urgent or convenient care centers, patients at WellNow only receive one bill — we never charge our patients an additional facility fee, which can add hundreds of dollars to a visit if a patient has an unmet deductible.

A facility fee is an additional bill that patients may be charged for visiting an urgent or convenient care facility that is affiliated with a hospital. This is a bill that is issued to a patient in addition to the doctor’s bill for services provided. In short, you receive more than one bill for one visit. Some hospital centers charge this fee, while others do not. WellNow does not charge facility fees.

WellNow requires a deposit at the time of service toward the estimated patient deductible or co-insurance amount. Payment is accepted via credit card; the deposit amount requested is dependent upon a patient’s insurance benefits and is only estimated. Copayments are due at the time of service. Please check with your insurance company prior to your visit if you have questions regarding your benefit coverage for urgent care.

Based on 2016 data from theHealth Care Cost Institute, the national average cost for an ER visit was $1,322. If you have a high-deductible plan and have not met your deductible, you are responsible for those ER costs until your deductible is met. ER visits that require X-rays or stitches are typically more than $600.

Patients can receive up to four bills when visiting an ER:

  • A bill from the hospital

  • A bill from the ER physician group that staffs the ER

  • A bill from the radiologist that reads your X-ray

  • A facility fee for your visit

For non-life-threatening injuries or illnesses, WellNow only charges patients one bill, and it is a fraction of what you would pay for the same services provided at an ER. However, if you are experiencing life-threatening symptoms, please call 911 or visit an ER.

If you have any questions or concerns, please contact us via phone or email Monday – Friday, 8:00 a.m. – 4:30 p.m. Eastern Time:

  • New York and Illinois patients can call us at (716) 699-9032.

  • Ohio, Michigan and Indiana patients can call us at (315) 424-3542.

FAQs | Services, Insurance, Billing (2024)

FAQs

What are three main types of healthcare services billing methods? ›

So, throughout this article, we'll be taking a look at the three most common types of medical billing systems that are used by healthcare organizations across the country: open, closed, and isolated.

How long after service can a doctor bill you in Florida? ›

The initial statement or bill shall be provided within 7 days after the patient's discharge or release or after a request for such statement or bill, whichever is later.

What is the maximum amount that an insurer will reimburse for a covered service or procedure? ›

Allowed Amount – This is the maximum payment the plan will pay for a covered health care service. May also be called “eligible expense,” “payment allowance,” or “negotiated rate.”

Does NJ have a no surprise billing law? ›

Beginning January 1, 2022, the new Federal No Surprises Act will govern self-funded surprise bill claims that have not opted into NJ law and those fully insured claims for services not covered by the NJ Surprise Bill Act, such as post-stabilization care.

What are the two basic payment models used for healthcare services? ›

Fee-For-Service (FFS) Capitation. Episode-Based.

Can providers charge more than EOB? ›

Anything billed above and beyond the allowed amount is not an allowed charge. The healthcare provider won't get paid for it, as long as they're in your health plan's network. If your EOB has a column for the amount not allowed, this represents the discount the health insurance company negotiated with your provider.

What is a formal request for payment from an insurance company for services provided? ›

An insurance claim is a formal request from the policyholder to their insurance company asking for payment after a covered incident, such as a hospital stay, a natural disaster, theft, and more.

Does deductible go by date of service or billing date? ›

Although the date of service generally determines when expenses were incurred, the order in which expenses are applied to the deductible is based on when the bills are actually received. Note: Services not subject to the deductible cannot be used to satisfy the deductible.

How do I complain about medical billing in New Jersey? ›

If you prefer to remain anonymous, you may still file a complaint by calling the Department of Health Complaint Hotline at 800-792-9770. The hotline is available 24 hours a day.

What is the No Surprise Billing Act for dummies? ›

No Surprises Act Overview

Patients are protected from receiving surprise medical bills resulting from out-of-network care for emergency services and for certain scheduled services without prior patient consent.

How long does a doctor have to bill you in NJ? ›

For bills for medical services, which are considered a contract, six years is the magic time period. Consumers also have new protections against surprise medical bills.

What are 3 different types of billing systems? ›

Medical Billing is the entire process of claims submission to ensure that the healthcare provider receives the reimbursem*nt. The medical billing system is categorized into three types, namely – (i) Closed system, (ii) Open system and (iii) Isolated system.

What are the three major types of healthcare? ›

There are many types of health coverage such as PPOs, EPOs and HMOs.

What are three 3 payers of services provided in the US health care system? ›

The three main different types of healthcare payors are government/public payors, commercial payors, and private payors.

What are the three ways to pay for healthcare? ›

These methods are more specific than common terms, such as capitation, fee for service, global payment, and cost reimbursem*nt. They also correspond to the division of financial risk between payer and provider, with each method reflecting a risk factor within the health care spending identity.

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