Frequently Asked Questions
We have compiled answers to questions you might have.
An Urgent Care typically treats non-life threatening conditions such as common colds, flu symptoms, strep throat, lacerations and more.
An Emergency Room treats conditions in need of immediate attention, for example, chest pain, abdominal pain, dehydration, fractures, and much more.
Finding the right level of Albuquerque urgent care can make a big difference in the outcome of your visit. Receiving care in an Emergency Room for a non-emergency condition may result in paying for a higher level of care than is needed. Selecting an Urgent Care for an emergency might waste valuable time as you are directed or transferred to an appropriate facility.
PRESNow 24/7 Urgent and Emergency Care was founded on the premise of helping you resolve this dilemma. This unique location is equipped to handle serious emergencies while also providing access to lower-cost Urgent Care for non-emergencies, all under one roof. This means that as a patient you do not have to try to self-diagnosis about where to go. The answer is to always choose PRESNow 24/7 Urgent and Emergency Care. Why is this significant? A study indicated that nationally, 44%-65% of ER visits could have been treated and billed at Urgent Care rates, but weren’t.
No. You will be informed and updated during your visit about your status as either an Urgent Care or Emergency Care patient. If your condition requires Emergency Care, we require that an additional consent be signed by you. This makes sure there are no surprises and that you understand all tests and treatments.
Yes, PRESNow 24/7 Urgent and Emergency Care accepts most major insurance, including Blue Cross Blue Shield, Presbyterian Health Plan, United, Aetna, Medicare, Medicaid, and more. For a complete list of insurance we accept at our urgent care in Albuquerque New Mexico, click here.
All healthcare insurance programs, including Medicare, set a distinction for first visits in an office or Urgent Care setting. The new patient charge is typically reimbursed at slightly higher rates than all following visits to the same location due to the additional work required to set up new accounts and obtaining all the necessary details to make this happen. Established patients are persons who have been seen at the office or Urgent Care in the past three years and the charge for this visit is typically less than the new patient charge.
An EOB is something the insurance company sends that explains what is allowed by their policies and what the associated charges are for what these allowances. It is not a bill, but rather a communication from the insurance company to the patient. It may or may not correspond directly to what our final bill is. If you have questions about your EOB, please contact your insurance company directly.
The best thing to do is wait until we bill you. Then, if you have any questions or concerns, we can help sort those out for you.
For urgent care services at our PRESNow 24/7 Urgent and Emergency Care location, in-network means we have a contract with your insurance company and have agreed on what the cost is for any service provided to you. Out-of-network means we do not have a contract with your insurance company in setting the rates. As a result, you may be billed a different rate as determined by your insurance company and benefit plan.
For Emergency Care at our PRESNow 24/7 Urgent and Emergency Care location, state law says that all patients have to be treated regardless of their insurance plan or ability to pay. This means your insurance company should consider you in-network. We will bill you the amount defined by your insurance plan.
If you have any questions or problems with your billing statement, we are happy to help you make sure that it is correct. Sometimes this requires us to have you call your insurance company or take other steps to reconcile your concerns. These are things we will walk you through while assisting you every step of the way. If you have any questions about your bill, please call 1-866-861-7444.