WellNow Urgent Care Updates and Instructions
This document outlines important changes regarding WellNow Urgent Care's network status with Excellus BCBS starting January 1, 2024. It provides details on coverage options, telemedicine services, and how to navigate care options. Members are encouraged to read through for updated instructions regarding their health plan.
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How do I fill this out?
To fill out this document, start by reviewing the updates regarding WellNow's network changes. Make sure to understand your copay options for urgent care and emergency services. For any claims related to out-of-network providers, refer to the detailed instructions provided.

How to fill out the WellNow Urgent Care Updates and Instructions?
1
Review the updates regarding WellNow's network status.
2
Understand the copay for urgent care vs. emergency services.
3
Follow the instructions for submitting out-of-network claims.
4
Utilize telemedicine services when needed.
5
Contact Excellus BCBS for any questions regarding your coverage.
Who needs the WellNow Urgent Care Updates and Instructions?
1
Current WellNow Urgent Care members needing to understand network changes.
2
Individuals seeking urgent care in the Excellus area for non-emergencies.
3
Members interested in telemedicine services for convenience.
4
Patients needing to submit claims for out-of-network services.
5
Families looking for health plan guidance and coverage options.
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What are the instructions for submitting this form?
To submit this form, members should log in to their Excellus BCBS account and access the 'Submit Claims' page. Alternatively, download the 'Medical or Vision Claim Form' from ExcellusBCBS.com and mail it to the provided address. Ensure all information is accurately filled out to avoid processing delays.
What are the important dates for this form in 2024 and 2025?
Important dates for this form include January 1, 2024, when WellNow Urgent Care transitions to out-of-network status, impacting coverage for members. Members should also review any relevant updates regularly to stay informed about changes in health care options. Don't forget to check telemedicine availability and how it fits your new coverage.

What is the purpose of this form?
The purpose of this document is to provide WellNow Urgent Care members with essential updates regarding their health benefits. It outlines the implications of leaving the Excellus BCBS network, including costs and care options. Additionally, the document serves as a guide for utilizing telemedicine and understanding out-of-network claims processes.

Tell me about this form and its components and fields line-by-line.

- 1. Member Name: The full name of the member seeking care.
- 2. Member ID: The unique identification number for the member's health plan.
- 3. Care Provider: Details of the healthcare provider being visited.
- 4. Date of Service: The date when care was received.
- 5. Claim Details: Information regarding the medical services rendered.
What happens if I fail to submit this form?
Failing to submit the form may result in a delay in receiving reimbursement or coverage for care received. It is crucial to follow the outlined procedures to ensure your claims are processed timely.
- Delayed Reimbursement: Slow processing of your claims can affect your financial management.
- Increased Out-of-Pocket Expenses: You may end up paying higher costs without reimbursement if the form is not submitted.
- Lack of Coverage: Not submitting could result in services being considered out-of-pocket, leading to financial strain.
How do I know when to use this form?

- 1. Out-of-Network Care: To submit claims for services received from WellNow Urgent Care.
- 2. Telehealth Services: When utilizing telemedicine for non-emergency care.
- 3. Emergency Services: To document and claim any emergency care received.
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