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  Shelby Leith   September 24, 2016   Medical, Insurance, Billing 1 Comment

The facts on medical billing

Velocity Care explains the process of medical billing

The facts on medical billingA trip to an urgent care clinic can often be a stressful experience to begin with, without the confusion that the billing aspect of the visit can cause. Velocity Care wants your trip to the walk-in clinic to be as stress-free as possible. Here we explain the billing process of your visit so you know how we determine medical charges and what happens when we submit claims to your insurance company.

Five steps to the medical billing process

Step 1: Visiting the doctor.

The first step is your visit to a Velocity Care walk-in clinic for treatment. Your doctor assesses your condition and determines the appropriate treatment for your individual health needs.

Step 2: Determining the appropriate billing codes.

Each therapy, treatment and diagnostic procedure has a specific code assigned to it, and these codes are standard across the country. After you have met with your doctor, our team breaks down your visit into a series of codes that will explain to the insurance company exactly what services you had. Each code has a specific, predetermined cost associated with it and these costs are standard as well. For example, we would apply the code G0168 if you had a minor wound closed with an adhesive. We would send this code to your insurance company to explain the care you received in our clinic.

Step 3: Submitting the claim.

Once we determine all the codes associated with your visit, our medical billing specialist will submit all of them, along with your information, to your insurance company for approval and payment.

Step 4: The approval process.

This next step can sometimes take a bit of time to complete depending on the complexity of the procedure or treatment that you have received and the diligence on the part of the insurance company. After they receive the claim, the insurance company will review the information and codes. They will ensure the accuracy of all information on the claim and determine whether this treatment is a benefit under your plan. Once this is completed, they will send a statement to us showing how much of the claim the insurance paid for and what portion, if any, is still to be paid by you, the patient.

Is there anything I can do to make the process easier?

There are a few things that you can do to simplify the process:

  • Arrive at the clinic with all your most recent and updated insurance information.
  • If possible, get preapproval from your insurance company before receiving treatment.
  • Review your insurance policy and know what types of claims it covers and what your annual deductible amount is.

How does Velocity Care make the process easier?

Our urgent care walk-in clinics deal with a large number of the most common insurance companies in both Louisiana and Arkansas, so we are knowledgeable and experienced. We also offer a special Value Card Program to our self-pay patients. This program can help save our cash-paying patients hundreds of dollars per year.

At Velocity Care Urgent Treatment Center, we strive to make every moment of your visit as pleasant and stress-free as possible. If you have concerns about the cost of treatment, have questions about medical billing or would like more information on our beneficial Value Card Program, please contact us today.

Uninsured patients benefit from saving money with the Value Card.

Photo credit: 123RF Stock Photo

Medical disclaimer

This site offers medical, health, fitness and nutritional information and is designed for educational purposes only. General information found on this website is not intended to diagnose any medical condition or to replace your health care professional.

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