Billing and Payment

How much will my copay be?

Copayments vary among insurance plans. To get your specific copay information, we'll need to see your insurance card and verify the insurance carrier. We recommend that you call the member services number on the back of your insurance card first to ask about coverage and any co-payment fee questions you may have.

Which Insurance plans Do you accept?

We now participate with certain select health insurance plans and are enrolling with a number of others. At the present time Priority 1 Urgent Care accepts

  • Aetna (may require prior authorization)

  • Blue Shield - North Eastern New York (BS-NENY)

  • Capital District Physicians Health Plan (CDPHP)

  • Cigna

  • Empire Blue Cross/Anthem

  • Humana (out of network)

  • Medicare

  • Mohawk Valley Physicians Health Plan (MVP)

  • New York State Empire Plan

  • United Health Care (out of network)

  • WellCare (out of network)

Check back in often as we continually update this information.

I don’t have my insurance card with me, can I still be seen?

Although it is much preferred that you present a valid insurance card at the time of service, we will see you and bill your insurance if you have a photo ID and your insurance member ID number, or can get that from your insurance provider. You can also pay the cost of a visit up front and be reimbursed by your insurance company later on.

Do you accept cash and credit cards?

Yes, we accept both. You are also welcome to use a debit card or Medical Flexible Spending Account/Health Savings Account (HSA) card.

What is the payment card on file system?

The Payment Card on File (PCOF) system allows for smoother transactions and visit billing. PCOF is a rapidly growing trend in the healthcare industry, mirroring business practices commonly found in other areas of commerce and industry. With changes in financing caused by the Affordable Care Act, the advent of health insurance exchanges, and significant increases in patient insurance deductibles, health care providers have found it necessary to implement similar policies. The purpose of PCOF is to guarantee payment for services rendered that may not be completely covered by insurance, including services applied to a patient’s deductible.

Signing up for PCOF is simple. When a patient visits, the patient will swipe their payment card of choice (Medical Flexible Spending, Debit, or Credit) and sign a prior authorization form in order to save the card on file. A copy of the signed form will then be scanned and given to the patient or emailed to the patient for their records. The patient’s payment card information will be safely held on a secure, encrypted gateway site that is completely compliant as required by law. No financial information will be available to our staff, held in our system, or kept at our office. Co-pays will still be collected at each visit and can be paid in any manner the patient chooses at that time. If the patient has insurance contracted with Priority 1 Urgent Care, we will submit the claim for the patient as usual. In approximately 2 to 3 weeks, the patient should receive an Explanation of Benefits (EOB) from their insurer that tells the patient exactly, according to the terms of the patient’s health insurance coverage, how much of the health care bill is covered by insurance and how much the patient owes to the medical practice. Priority 1 will also receive a copy of the same EOB from the insurer that the patient was sent, and determine what the insurance carrier has decided is the patient’s responsibility. Instead of sending the patient a bill for that amount, we will charge the patient’s payment card on file for the patient responsibility amount and email the patient a receipt at the email address provided to Priority 1 at the time of registration, or the patient can request a printed receipt from Priority 1’s front desk staff. If there is no balance due, the payment card is not charged. Please note, approximately five days prior to the payment card being charged, a notification will be sent to the email address on file for the cardholder, notifying the cardholder of the impending charge to the payment card.

If you have any questions about the PCOF policy, please do not hesitate to contact us at info@priority1urgentcare.com and we will respond within 24-48 hours.

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 would 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 1-518-867-8040.

General Questions

What is Urgent Care?

An urgent care practice can complement the services your primary doctor provides, from extended office hours and short wait times to the kinds of medical services that often aren’t available in most primary doctor’s offices (EKG, IV, sutures, x-rays, etc.). While your primary doctor cares for all kinds of preventative and chronic medical issues, urgent care treats the problems facing you today. Also, for the cases where your primary doctor would have to send you to a hospital ER for a non-emergency problem, urgent care can eliminate much of the waiting and expense often encountered in the ER.

Learn more about the benefits of Urgent Care

What information do I need to be seen at priority 1?

You'll need a valid photo ID and insurance card if you're paying with insurance. When you visit, you'll complete some registration information, and then be seen by our staff.

When should I visit an ER instead of urgent care?

ER visits are necessary when someone is suffering from either a life- or limb- threatening medical condition, or if the condition involves severe wounds. If symptoms arise suddenly and you believe that some kind of an emergency exists or that a life is in jeopardy, immediately call 9-1-1. To learn more, visit our UC or ER page.

What are the credentials of the Priority 1 Medical Staff? 

All Priority 1 team members are highly trained and qualified, with many having years of experience working in urgent care and emergency settings. Our doctors are board certified in emergency medicine, internal medicine-pediatrics, general surgery, or family medicine. 

Do I need a referral to see a doctor at Priority 1 Urgent Care?

No referral is needed. Our agreements with insurance carriers allow you to be treated in our office without a referral.

Services

Does Priority 1 perform On-site laboratory or STD testing?

Yes. We provide a number of on-site (point of care) laboratory tests as directed by our New York State Department of Health Limited Services Laboratory Registration. Additional testing not performed on-site is sent to a local reference laboratory for processing.

See a list of onsite lab testing

Does Priority 1 have x-ray on site?

Yes, we offer the latest in digital x-ray equipment on-site, staffed by a licensed x-ray technologist or physician.

Does Priority 1 perform physical exams?

Yes, we can provide physical exams for work, sports or school including blood work. Always call ahead of time to be sure the provider doing the kind of exam you need is available.

Does Priority 1 offer flu shots?

Yes we do from September through March, no appointment needed.

Does Priority 1 treat children?

Absolutely! All of our doctors are Board Certified and are very experienced in treating children with a variety of medical problems and injuries.

HIPAA Notice Of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Our Pledge Regarding Medical Information

We are committed to protecting medical information about you. This notice describes our privacy practices and that of all our employees and staff. This notice will tell you about the ways in which we may use and disclose medical information about you. It also describes your rights and certain obligations we have regarding the use and disclosure of medical information.  We are required by law to:

  • Give you this notice of our legal duties and privacy practices with respect to medical information about you;

  • Make sure that medical information that identifies you is kept private; and

  • Follow the terms of the notice that is currently in effect.

How We May Use and Disclose Medical Information about You

The following categories describe different ways we use and disclose medical information. For each category we will explain what we mean and try to give some examples.  Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.

Treatment. We may use and disclose medical information about you to provide you with medical treatment or services. For example, a specialist we may refer you to may need to know about a treatment you received at our office in order to coordinate other treatments you are receiving.

Payment. We may use and disclose medical information about you so that the treatment and services you receive at our office may be billed and payment may be collected from you, an insurance company, or a third party.  For example, we may need to give your health plan information about services you received at our office so your health plan will pay us or reimburse you for the services.

Health care operations. We may use and disclose medical information about you for our office operations.  These uses and disclosures are necessary to run our office and make sure that all of our patients receive quality care. For example, we may use medical information to review our treatment and services and to evaluate the performance of our staff in caring for you.

Appointment reminders. We may use and disclose medical information to contact you as a reminder that you have an appointment for treatment or medical care at our office.

Treatment alternatives. We may use and disclose medical information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.

Health-related benefits and services. We may use and disclose medical information to tell you about health-related benefits or services that may be of interest to you.

Individuals involved in your care or payment for your care. We may release medical information about you to a close personal friend or family member who is involved in your medical care or payment for your care, so long as you have not objected and it is reasonable for us to infer that such disclosure is in your best interest.

Special purposes when permitted or required by law.  We may disclose medical information about you for special purposes when permitted or required by law, when certain elements are met, including the following:

  • To avert a serious threat to health or safety against you, the public or another person.

  • For public health and administrative oversight activities such as disease control, abuse or neglect reporting, health and vital statistics, audits, investigations, and licensure reviews.

  • For organ and tissue donation and transplant to facilitate organ or tissue donation and transplant.

  • For research purposes limited information may be disclosed as permitted by law.

  • To workers’ compensation or similar programs for the payment of benefits for work-related injuries.

  • To coroners, medical examiners and funeral directors to identify a deceased person, determine cause of death, or to carry out duties.

  • To comply with court orders, judicial proceedings, or other legal processes related to law enforcement, custody of inmates, legal and administrative actions, and criminal activity.

  • For U.S. military and veteran reporting regarding members and veterans of the armed forces of U.S. or foreign military.

  • For national security and intelligence activities such as protective services for the president and other authorized persons.

  • State and other federal laws. We will comply with all applicable state and federal laws.  For example, under state law, there are more limits on the disclosure of HIV and AIDS information.  We will continue to abide by all applicable state and federal laws.

Other uses of medical information require an authorization. Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written authorization.  If you provide us an authorization to use or disclose medical information about you, you may revoke that authorization, in writing, at any time.  If you revoke your authorization, we will no longer use or disclose medical information about you for the reasons covered by the written authorization.  You understand that we are unable to take back any disclosures we have already made with your authorization, and that we are required to retain our records of the care that we provide to you.

Your Rights Regarding Medical Information About You

You have many rights with regard to your medical information.  If you wish to exercise any of these rights, you must submit your request in writing, unless otherwise noted.

Your right to inspect and copy. You have the right to inspect and copy medical information that may be used to make decisions about your care.  We may charge a reasonable fee for the costs of copying, mailing or other supplies associated with your request, up to the maximum allowable in the State of New York.

Your right to amend. If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to add a statement. You must provide a reason that supports your request for an amendment.

Your right to an accounting of disclosures. You have the right to request an “accounting of disclosures.”  This is a list of certain disclosures we made of medical information about you. Your request must state a time period. We may limit the time period to 6 years and to disclosures made on or after April 1, 2019. The first list you request within a 12-month period is free. For additional lists, we may charge you for the costs of providing the list.

Your right to request restrictions. You have the right to request a restriction or limitation on the medical information we use or disclose about you.  For any services for which you paid out-of-pocket in full, we will honor any request you make to restrict information about those services from your health plan, provided that such release is not necessary for your treatment. In all other circumstances, we are not required by law to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment.

Your right to request confidential communications.  You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.  For example, you can ask that we only contact you at work or by mail. If we maintain medical information about you in electronic format, you also have the right to obtain a copy of such information in electronic format and to direct us to transmit such information directly to an entity or person clearly, conspicuously, and specifically designated by you. We will not ask you the reason for your request.  You may make this request in writing or verbally.

Right to paper copy of this notice. You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time.

Right to file a complaint. If you believe your privacy rights have been violated, you may file a complaint with us. You may also file a complaint directly with the secretary of the department of health and human services. You will not be penalized in any way for filing a complaint.

Changes To This Notice

We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current notice at our offices and make copies available upon request.

Privacy notice contact information

For questions about this privacy notice, please contact:

Priority 1 Urgent Care Privacy Officer

2080 Western Avenue, Box 132

Guilderland, New York 12084

Telephone 518-867-8040

info@priority1urgentcare.com

Website Privacy Policy

Priority 1 Urgent Care respects your privacy and is committed to protecting any personal information that you share with us. We will do our best to provide a convenient and safe online experience.  This Privacy Policy describes what information we collect, why we collect it, how we may use it and when we share it with third parties. By accessing our website, you acknowledge and agree to be bound by the terms hereof.  Periodically, we may update this Privacy Policy and encourage you to check this section for any changes.

What information do we collect, why do we collect it and how do we use it?

When you browse our website, you do so anonymously.  You are not required to provide any personal information about yourself, and we do not collect any personal information (if volunteered by you) for the purpose of reselling or distributing that information.

We may, however, collect non-personal information such as your IP address (the Internet address of your computer) when you log in to our website to give us an idea of which part of our website you visit and how long you spend there.  We do this in an effort to improve your online experience and to help us better improve our website and interaction with our communications to users of our site.

Like many other commercial websites, the Priority 1 Urgent Care website may use a standard technology called a “cookie” to collect non-personal information about how you use our site. A cookie is a small data file that certain websites write to your hard drive when you visit them. A cookie file can contain information such as a user ID that the site uses to track the pages you’ve visited, but the only personal information a cookie can contain is information you voluntarily supply yourself. A cookie can’t read data off your hard disk or read cookie files created by other sites. Some parts of Priority 1 Urgent Care’s website use cookies to understand user traffic patterns. As mentioned above, we do this in order to better determine the usefulness of our website information to our users and to see how effective our navigational structure is in helping users reach that information.  If you prefer not to receive cookies while browsing our website, you can set your browser to warn you before accepting cookies and refuse such cookies when your browser alerts you to their presence. You can also refuse all cookies by turning them off in your browser, although this may result in you not being able to take full advantage of the Priority 1 Urgent Care website if you do so.

Who do we share your information with?

Any personal information you provide on our website is never shared outside Priority 1 without your permission, except under certain conditions explained below. Priority 1 only stores data in controlled servers with limited access.

Priority 1 may send your personal information to other companies or people under any of the following circumstances: when we have your consent to share the information; we need to share your information to provide the product or service you have requested; we need to send the information to companies who work on behalf of Priority 1 to provide a product or service to you (we will only provide those companies the information they need to deliver the service, and  prohibit them from using that information for any other purpose); or we want to keep you up to date on the latest product announcements, software updates, special offers or other information we think you’d like to hear about either from us or from our business partners. We will also on rare occasions disclose your personal information if required to do so by law (such as subpoena, court or agency orders) or as we may reasonably determine to be necessary to enforce our Privacy Policy or other terms of use associated with our website, or in urgent circumstances, to protect personal safety, the public or our website.

In addition to the foregoing, Priority 1’s website may contain links to other sites that are not owned or operated by Priority 1. Priority 1 does not share your personal information with those websites and is not responsible for their privacy practices.  We do not warrant, represent or assume any responsibility or liability for the accuracy, security, completeness or operation of any linked site. We encourage you, therefore, to familiarize yourself with the specific legal, privacy and security information contained in any such linked sites.

How do we protect your information?

Your Priority 1 Urgent Care account information (if offered and should you choose to have one) is password-protected for your privacy and security. Priority 1 safeguards the security of the data you send us with physical, electronic, and managerial procedures. While we strive to protect your personal information, we cannot ensure the security of the information you transmit to us, and so we urge you to take every precaution to protect your personal data when you are on the Internet.  Unfortunately, no collection or transmission of information over the Internet can be guaranteed to be 100% secure, and therefore, we cannot ensure or warrant the security of any such information. To mitigate the risks of exposure, we encourage you to change your passwords often, use a combination of letters, numbers, and non-alphanumeric characters, and make sure you always use a secure browser.

Our website does not target and is not intended to attract children under the age of 13. Priority 1 does not knowingly solicit personal information from those we actually know are children under the age of 13 or send them requests for personal information.  If you are under 13, you should not submit any personal information to us. If you are the parent of a child under 13, please help us protect your child’s privacy by instructing them never to provide personal information on our website or any other site without your permission.

Updates and Contact Information:

As mentioned above, Priority 1 Urgent Care may amend this Privacy Policy from time to time. We encourage you to check this section for any changes.

If you have questions or concerns about your privacy or security at our website, please email us at info@priority1urgentcare.com.

Disclaimer:

This website is for informational and educational use only. No physician/patient relationship is established by your use of this site, or by you accessing this site, and no diagnosis or treatment is being provided. The information contained herein should be used only in consultation with a physician of your choice, and should in no way be used instead of or in place of consulting your physician directly. No guarantees or warranties are made regarding any of the information contained within this website.

This website is not intended to offer medical or other professional advice to anyone. Priority 1 practices medicine in the State of New York and this website is not intended to solicit patients from other states.  Further, this website and its owners take no responsibility for any websites hyper-linked to this website.