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 Frequently Asked Questions:

Frequently Asked Questions

What exactly is an urgent care?
Urgent care centers provide treatment for the non-life threatening illnesses and injuries that occur on a day-to-day basis. They are equipped to serve the entire family including children and can handle a variety of conditions ranging from sinusitis and pneumonia to lacerations and fractures. Generally, most urgent care centers are open seven days a week with hours extending into the evening. Additionally, patients seeking medical attention or advice should not have to make appointments at urgent care centers.

Should I use the urgent care instead of my family doctor?
The urgent care center is a great option if you have an urgent medical condition that you feel needs immediate attention at that time. If your family doctor is neither available nor equipped to handle the situation, urgent care might be a suitable alternative. With the majority of the urgent care doctors having extensive emergency room experience, urgent care centers work closely with patients to ensure that all appropriate records are transferred to local family physician.

How does urgent care differ from the emergency room?
There are several main differences between urgent care centers and the emergency room. Emergency rooms are staffed 24 hours a day and are designed to treat patients suffering from life threatening injuries or serious illnesses. In contrast, urgent care centers are designed to lighten the load on local emergency rooms by treating non-life threatening injuries (lacerations, mild fractures, etc.) and illnesses (ear aches, influenza, rashes, etc.) in a patient friendly environment.

When should I utilize an urgent care treatment center?
The urgent care centers should be used for any non-life threatening medical illness or injury that you deem urgent. It is best to receive direct attention rather than waiting hours, days or weeks to be seen. Since most urgent care centers have extended evening hours beyond those of family doctors, they are excellent options for late day, evening and weekend medical problems.

Will my medical insurance be accepted?
Most major urgent care centers are contracted with a variety of insurance companies. Often, co-pays are higher than that of a family physicians office due to the accessibility. However, urgent care centers generally have lower co-pays than that of an emergency room.

Billing Process

How does Urgent Care of Wauseon (UCW) submit my claim to the insurance company?
Your billing information will be submitted to your insurance carrier. Either you or Urgent Care of Wauseon 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, UCW 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.  If our office has not received a response from your carrier, you will be billed directly for services rendered.

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 are 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 processing of your claim.

How do I make payment arrangements if my insurance doesn't pay?
To make payment arrangements, please contact the billing department.  Contact numbers can be found on the statement you received.

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