Billing Paperwork

Credit Card Authorization (Updated Oct. 2017)

Patient Financial Obligations (Updated Oct. 2017)

Payment Policy: Credit Card on File (CCOF)

Priority Care Clinics: Urgent Care Payment Policy

Dear Valued Patient,
Priority Care Clinics, LLC is always seeking ways to improve our efficiency and service as the area’s leading urgent care provider. Recently we have instituted a new "credit card on file" (CCOF) system to allow smoother transactions and billing for your visits

Here is an overview of how CCOF will work:

CCOF will take only a few simple steps to sign up. At your visit, you will swipe your credit card of choice and sign the pre-authorization to save the card on file. A copy of the signed form can then be scanned and given to you or emailed for your records. It’s that simple! Your credit card information will be safely held on a secure, encrypted gateway site. No financial information will be available to our staff, held in our system, or at our office

Co-pays will still be collected at each visit (please see your health card or contact your insurer for co-pay amount as these differ by plan) and can be paid in any manner you choose at that time. If you have insurance contracted with Priority Care Clinics, we will submit your claim for you as usual. In approximately 1-3 weeks, you should receive an explanation of benefits (EOB) from your insurer that outlines what part of your service has been covered by your insurance and reveal exactly how much remains your responsibility to pay to our center for services rendered. We will also receive a copy of your EOB from your insurer and will charge your credit card on file with the amount due as indicated within 2-3 business days of receipt. If there is no balance due, your card is not charged. A copy of the receipt can be emailed to you, or you can request a printed receipt from any front desk staff

CCOF is a rapidly growing trend in the healthcare industry. This year with the Affordable Care Act, Health Exchange, and significant increase in patient insurance deductibles, we have found it necessary to implement this policy

If you have any questions about CCOF, please do not hesitate to contact us at and we will respond within 2 business days

Billing FAQs

Why are you changing your payment policy?

Credit card on file (CCOF) is a rapidly growing trend in the healthcare industry. Its purpose is to guarantee payment for services rendered that may not be completely covered by insurance including services applied to a patient’s deductible

But I always pay my bills, why me?

We understand that most of our patients pay their balances in a timely manner. Unfortunately, this is not always the case, and neglected balances for services already rendered affect the cost of health care for all. This system will streamline billing for our patients and help keep administrative costs down for us

How will I know how much you are going to charge me?

You will receive an Explanation of Benefits (EOB) in the mail from your insurance carrier that explains how much of your visit or service they pay and how much you pay. This EOB tells you exactly, according to your health insurance coverage, how much of your health care bill is covered by your insurance and how much you owe to the center

Then what?

We receive the same EOB that you do. It arrives approximately 20-30 days after your appointment. As always, we look at each EOB carefully and determine what your insurance has determined as patient responsibility. Instead of sending you a bill, we will now charge your credit card on file for the patient responsibility amount and email you a receipt

How can I trust that you will keep my credit card information safe?

We do not keep any credit card information on file in the centers, head office, or any computers within. We use a secure, encrypted gateway site that is completely compliant as required by law

What if I need to dispute my bill?

We will always work with you to understand if there has been a mistake and we will refund your card if we have made a billing error. We will only charge the amount that we are instructed to by your insurance carrier, in the EOB they send to us, in the same way that we normally determine how much to send you a bill for in the mail. If you have any questions about your coverage, please contact your insurer upon receipt of your EOB. If you have questions about your bill, please call our billing department at 1-239-494-3376

What if I don’t have a credit card?

You are welcome to leave a debit card or Health Savings Account (HSA) card. Alternatively, you can be seen as a self-pay patient. Thereafter, we can provide you with a copy of your visit records and payment receipt for you to submit directly to your insurance company for processing and reimbursement.

Declined Credit Cards

In the event that your CCOF is declined you will be subject to a $35 declined payment fee. We will attempt to contact you by phone and if no response with 5 days a warning letter will be mailed to the address on file. If no payment or response is received with 10 days your account will be considered delinquent and sent into debt collections with Pioneer Capital Solutions, Inc