Thank you for choosing us for your health care needs.

Billing help: alaskamedicalbilling2@gmail.com

Please ask any us questions you may have about our policies and procedures. Information contained in this newsletter will help you to questions regarding your health care insurance. A step-by-step guide through our payment and billing procedures.

1. We will submit medical claims to insurance companies on the patients behalf once. As a courtesy to patient and their families we will bill your medical insurance provided that complete and accurate insurance information is given at the front desk. We want to keep our fees reasonable. We make every attempt to bill your insurance as quickly and accurately as possible. You will receive monthly statements while your claim is being processed.

2. Patient Information. PLEASE be neat, accurate and complete when filling out this information.

a. Additional Family Members Information. We bill by family accounts. Please be sure to include all family member that are under your coverage.
b. Guarrantor Accounts for patients under 18. The account of a minor must be linked to the account of a financially responsible adult.
c. Responsible Party Information. This is the person through whose employment the patient has obtained health insurance.
d. Primary Insurance Information. We bill primary insurance. For adults, primary is the insurance receive through their employment. For children, if both parents work are insured and pay for full family health coverage the primary insurance is generally held by the parent whose birthday falls FIRST in the calendar year. You must call your insurance companies for clarification. You can submit a copy of the EOB from your primary insurance and a copy of your Juneau Urgent Care bill to your secondary insurance.
e. Secondary Insurance Information. We do require this information EVEN THOUGH WE DO NOT BILL SECONDARY INSURANCE. Often, the primary insurance company will inquire about the secondary insurance or they may argue they are not the primary insurance. We need information on both insurances, if you have a secondary insurance.
f. Credit Card Information. This information, like your health information is completely protected at Juneau Urgent Care. It gives you tremendous flexibility in making payments and receiving credits.

3. Requested copy of driver’s license AND insurance card at each visit to verify your identity. We apologize for any inconvenience this may cause our patients but this is for the protection of you and your family.

4. Co-pays, Deductibles and service not covered by your coverage are due at the time of service. We advise patients of any services that their insurance company “is not likely” to pay (for example, preventative care, commercial driver physicals and well checks). If you do not know the amount due for you co-pay we will calculate 20% of your total bill as it is the typical insurance co-pay standard. We will then bill your insurance company for the remainder.

5. Health insurance is a private contract between you, your employer and your insurance company. It is your responsibility to call your insurance company with ALL questions you may have. We cannot answer questions regarding your coverage, payments or deductibles, only your insurance company can provide you with that information. The medical bill is your responsibility. We expect that you participate and promptly answer any questions the insurance company may have to avoid delays in payment. The receipt copy that you are given at the end of your visit provides itemized information concerning your bill. Have this information available when call your insurance company about your claim.

6. Coordination of Benefits or Automatic Crossover. If you and your spouse have the same family health insurance, call your insurance company to arrange the coordination of benefits. This authorizes your insurance company automatically process your claim through primary and secondary plans so you don’t have to send any EOB’s or bills anywhere.

7. Refunds after adjudication. If your insurance company pays an amount above any balance you owe Juneau Urgent Care, the difference will be refunded on a quarterly billing statement. A credit will be held on you account until that time. Please recognize dates provided by your insurance company are only the dates of the decision.

8. Billing Calls/Email in General- We ask that you apply fairness and reason BEFORE calling Juneau Urgent Care and politely explaining your question. Calls regarding insurance cannot be answered. You must call your insurance company directly.

a. Please follow our phone instructions. We ask that you email questions to billing@juneauurgentcare.com with FULL details (including date of service, complete name, name of patient, name of guarantor, and the nature of your inquiry). Allow a few days for a response. Most often your inquiries require time for proper research and response. Please use our email or billing line for ALL billing inquiries The Billing Department is NOT open weekends/holidays. But email is always available.

9. Plans not accepted. PPO’s and HMO’s. Patients belonging to a plan other than Blue Cross will be expected to pay in full at the time of service. Juneau Urgent Care does not have an agreement with any other HMO of PPO. In addition, patients of Blue Cross will be expected to pay their deductible, copayments and any uncovered services. In addition, we do not bill Fishermen’s Fund, Firemen’s Fund, some out of state plans, all out of country plans, Champus or Tricare.

10. Accidents of Injuries. Juneau Urgent Care does not participate in third party billing. You will be held responsible for your any charges resulting from a vehicle or public injury.

11. When a patient owes a balance. Accounts are considered delinquent or past due when: 1) no payment has been made within 30-days of the final insurance payment; or 2) there is no response to our mailing or phone calls. For outstanding balances past due Juneau Urgent Care will charge interest of 18%.

12. Worker’s Compensation. It is the patient’s responsibility to provide Juneau Urgent Care with the appropriate information for all worker’s compensation claims. In order to qualify for coverage workers must report their accident to their employer within 30-days of the injury or self-pay their entire bill.

13. Medicare/Medicaid. Be sure to have your Medicare Identification Card if you expect to bill Medicare. Medicaid and Denali Care insurance recipients must have their coupons as well as any co-payment and payment for services not covered by their plan.

14. How to get Health Insurers to Pay up! Know your rights. Alaska Administrative Code 3 ACC 26.1§ 70 sets standards for prompt, fair and equitable settlements. Sometimes insurance companies need prompting. To exercise your rights, or file a complaint concerning your insurance company and your medical bill contact:

Division of Insurance, Consumer Service Section
(800)-467 8725 Phone Alaska only
(907)-269-7900