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PATIENT REFUND POLICY

Last Updated March 1, 2024

It is the policy of Patient Plus Urgent Care to return all monies that are not due to Patient Plus Urgent Care. These may include overpayments from patients or third-party payers. We are committed to complying with state and federal laws and minimizing refunds' impact on receivables.

  1. Every patient who presents to a Patient Plus Urgent Care location will have their insurance verified through one of several different verification sites.
    1. Patient Plus staff will communicate with the patient if they have a co-payment, unmet deductible, co-insurance, outstanding balance, or other money owed at the time of the visit.
    2. Patients must pay the amount owed based on this verification to be seen and treated.
  2. Patient Plus will file the claim with the appropriate insurance provided by the patient
  3. Periodically, after the insurance company adjudicates a claim, a refund may be owed to the patient due to overpayment at the time of service.
  4. A thorough review of the account and associated explanation of benefits is conducted to determine the cause of the credit balance.
    1. A review of all payments and adjustments is performed to ensure they were posted correctly.
  5. Once it has been determined that the patient's credit balance is valid, it will remain on the patient's account for one (1) year and be used to satisfy the patient's payment obligations for subsequent visits.
  6. If after one (1) year, the patient has not used the credit balance on the account, the process will begin to refund the balance to the patient.
  7. If the overpayment is due to a patient, a refund is issued to the guarantor of the account.
  8. If a patient-due credit balance occurs for a guarantor with multiple patients on the account and a debit balance remains on the total account, the credit is posted as an open balance payment on the account.
  9. Credit balances of less than $10 are not refunded.
  10. The refunds will be in the form of a check sent to the address provided by the patient at the time of check-in
    1. It is the patient's responsibility to provide any change of address to Patient Plus using the Patient Portal.
    2. To update patient information, log into the Patient Plus Patient Portal by clicking the “Patient Portal” button in the top right corner of www.patientplusuc.com
    3. Hover over “My Account” then click “Personal Information”
    4. Update the appropriate box with the correct information
    5. Select “Save” at the bottom right of the page
  11. If the refund check is returned to Patient Plus as undeliverable for any reason, we will make a reasonable attempt to find updated information and send out the check again
    1. Patient Plus will attempt to contact the patient/guarantor via phone numbers provided on their account
    2. If Patient Plus is unable to make contact via telephone, an email will be sent to the address on file
    3. Patient Plus will charge a $25 fee for research and processing, which will be deducted from the refund amount.
  12. If Patient Plus cannot locate the patient, Patient Plus will follow Louisiana state law for handling unclaimed money.
    1. Patient Plus will report and tender all unclaimed funds subject to escheat to the appropriate representative of the state.
    2. Patient Plus will deduct a dormancy charge of $25 from the total amount of the unclaimed property before being sent to the State of Louisiana.