Billing Process
How does America's Urgent Care submit my claim to the insurance company?
Your billing information will be submitted electronically to your insurance carrier. Either you or America's Urgent Care should receive an Explanation of Benefits form detailing what was paid, denied or due from you. The approximate wait time for Explanation of Benefits (according to insurance carriers) is within thirty days.
How will I know what my insurance will cover on the claim?
If your insurance carrier responds, ACA (our corporate office) and you will receive an Explanation of Benefits (EOB). This explanation details the services you received and the payment that the insurance carrier is willing to cover. Contract rates or services not covered by your insurance carrier are your responsibility.
What if my insurance carrier does not respond?
If the carrier does not respond within thirty days, we will begin our process of calling the insurance carrier to verify that they received your claim and are actively processing it.
I have paid my co-pay, why am I receiving a bill stating that I owe the remaining balance?
The most frequent reasons for this to occur is either your insurance carrier states that you still owe your yearly deductible, or your carrier has requested and not received additional information from you. If this happens, the bill becomes your responsibility. We recommend you contact your carrier to discuss the information they requested or state as your yearly deductible.
What happens if my insurance company denies my claim?
America's Urgent Care expects insurance companies to reimburse claims within 90 days or the balance becomes your responsibility. Should this occur, you will receive three statements within 90 days. If we do not receive payment or correspondence from you, we begin collection procedures on your account.
How do I make payment arrangements if my insurance doesn't pay?
To arrange payment options, please contact the billing specialist responsible for the site that you visited. Contact numbers can be found on the statement you received.
My account was sent to collections, how do I settle the bill?
Please forward payments to the address listed on the collection notice.
