Insurance Accepted at Children’s Urgent Care and Walk In Clinic Fort Worth, TX
Pediatric Urgent Care Accepts a Wide Variety of Insurances for Quality Care Services
Yes – at this time we accept the following Pediatric Medicaid Plans: Aetna, Amerigroup and Cook Children’s Health Plan. At this time we do not accept Medicare.
When you arrive at our facility, we will verify your insurance through our real-time verification process. This provides us with up-to-date eligibility, deductible information, co-pays, and co-insurance according to your particular insurance plan.
In most cases we will collect your urgent care co-pay. Once we file the visit with your insurance provider, they will issue an EOB. After we review your EOB, we will send you a bill for any remaining unpaid portion. Usually, unpaid portions are the result of your deductible requirements.This process generally takes 4-6 weeks.
Every insurance plan is different and it can be very confusing at times. If you have questions regarding your insurance eligibility or verification, please call us.
An "EOB" is an explanation of benefits. It is a statement issued by your insurance company that explains what medical treatment and/or services were paid for or “covered” and which medical treatments/services were not paid for or "denied".
The EOB will describe the services performed, the date of service, the insurer’s code for the service, and the name of the patient. It will also list the doctor’s requested fee minus any contracted reductions by the insurance company.
An EOB is not a bill. It is simply a statement of covered and non-covered medical treatment/services.
Once PUCFW receives the EOB from your insurance company, we review all "denied" or non-covered portions. Often times, we appeal denied claims on your behalf. Claims may be denied for several reasons that are beyond your control.
Once your claim is finalized and there are no pending appeals with your insurance company, our billing services department will issue a statement for any unpaid balance.
If you have any questions about your EOB, please contact us
A deductible is the amount of expenses (money) that must be paid "out of pocket" by the policy holder before an insurance company will pay any expenses. This set amount is determined by your individual insurance policy.
Deductibles only apply in certain situations. Your insurance plan determined when you have to pay "out of pocket" towards your deductible and when your services are paid for or "covered" by your insurance company. When your services are paid for or "covered" by your insurance company it means one of two things: either you have met your deductible, or that particular service does not qualify for, or "apply towards", your deductible.
With our real-time verification process, we are able to quickly see if you have fulfilled or "met" your deductible. This information is updated hourly and is generally very accurate.
If you have not paid or "met" your full deductible, and your insurance policy applies your deductible towards your urgent care visits, you may receive a bill from us. For a complete list of medical services and/or treatments are excluded or "waived" from your deductible, please contact your insurance policy holder.
You may call us anytime A member of our team will return your call as soon as possible.
To make a payment, inquire about a bill, or initiate a payment plan, please contact Billing Service, To make a payment online click here, or inquire about a bill, or initiate a payment plan, please contact us
Refunds are issued at the end of the every month. They are sent to the mailing address of the guarantor. If you need assistance or a refund of any overpayment before the end of the month, please contact us and we will make every effort to accommodate you.