The patient and/or guarantor are ultimately responsible for all charges associated with your visit regardless of insurance coverage. All balances from previous visit(s) are due and payable prior to any new visits. If your health insurance policy contains a deductible, we will require a preauthorized hold on a major credit card for future balances. We will verify your insurance benefits to the best of our ability, however, there may be additional balances due after your health insurance processes your claim according to your benefits. In the event that we cannot verify your health insurance benefits, we will expect payment in full at the time of service.
Credit Card Hold
Duke City Urgent Care requires that patients provide a credit card for DCUC to hold on file. DCUC does not store any data and the data will be stored by First Data, one of the largest data storage and security forms in the U.S. DCUC will not charge your card without first notifying you with a statement after your claim has been submitted to, and paid by, your insurance provider. Upon receipt of the statement you will have 2 weeks to contact DCUC to pay via your preferred method (cash, check, credit card). In the event that you do not contact DCUC, the credit card on file will be charged up to $250 for payment of the balance due.
Third Party Charges
Our charges do not include outpatient labs, imaging studies, DME, and other diagnostic services not performed or provided by Duke City Urgent Care. You may receive bills from third party companies for these services. The patient and/or guarantor are responsible for third party charges.
Co-payments are required at the time of registration. Before you are seen, it is your responsibility to obtain any referrals and/or preauthorization that is required by your insurance company. We will submit your claim directly to your health insurance and accept assignment of payment on your behalf. If the insurance claim is denied, you will be billed the charges for services rendered. You agree to pay any portion of charges not covered by your health insurance for your date of service.
Out of Network
You will pay applicable out-of-network copay at the time of visit. We will then work directly with your insurance company to submit the remaining charges on your behalf. Should the insurance company choose not to pay the proposed charges, we will collect the remaining outstanding balance from you, the patient. If we are not contracted as a participating provider with your insurance company, please be aware that you are responsible for any portion of the bill that is not covered by your insurance. Our charges are comparable to other urgent care providers in this area.
Self-Pay (No insurance, High Deductible/Out-of-Network Insurance)
We offer a flat rate of $150 maximum per visit, regardless of the services provided. The following patients will never pay more than $150. All services provided by Duke City Urgent Care are covered in the maximum $150 rate, which excludes any third party charges. The self-pay option is available for the following patients:
- No insurance
- Out-of-Network Insurance
All payments are due at the time of registration. Please be aware that we will not be able to file a claim for the Out-of-Network patients who elect to choose the self-pay option. You will have to file a claim directly with your health insurance for reimbursement.
Auto Accidents (MVA)
We do not file claims to auto insurances. As a one-time courtesy, we will file the claim to your medical insurance. However, your medical insurance may not cover your visit. You, the patient and/or guarantor, will be responsible for all charges if the insurance denies the date of service for the auto accident claim.
We provide access for evaluation and treatment of Worker’s Compensation related injuries and medical complaints. A Photo ID along with a first report of injury from your employer is needed to file a Worker’s Compensation claim. The patient will also be asked to fill out a Worker’s Compensation form upon arrival at the clinic. If the required information is not provided by the patient and the claim is denied, the patient will ultimately be responsible for the charges for the said date of service.
Payment is due upon receipt of your statement. Balances will be considered past due if no payment is received within 30 days of the statement issue date. All past due amounts may be subject to a monthly late fee. All balances that are not paid within 90 days will be referred to a collection agency. Payment arrangements are available. Payments can be made by sending it in by mail to 11601 Montgomery Blvd NE, Albuquerque, NM 87111-2660, or over the phone with our billing office at 505-814-1996. If payment is made by check and the check is returned by your bank for any reason, a $25 returned check fee will be added to your account.