Welcome

It is our mission to provide you, or your loved one, with the highest quality in medical care. As a patient of Randolph Health Medical Group, you will be under the care of Randolph Health Medical Group primary care physicians. Should your doctor be unavailable when you need to be seen, another member of our highly qualified medical staff will be available.

 

In the event the office is closed, the on-call physician may be reached by calling the Randolph Health operator at 336-625-5151. Please ask for the Randolph Health Medical Group Pediatric, Family Practice or Internal Medicine doctor on-call.

 

Always remember, in an emergency, dial 911 for immediate assistance.

 

Services Provided
 

• Newborn Care

• Pediatric Care

• Adult Care

• Geriatric Care

• Family and Personal Counseling

• Well Child Exams

• Immunizations

• Physicals

• Sports Physicals

• Employment Physicals

• Worker's Compensation

• Weight Loss Program

• Physical Therapy Services

 

Appointments

 

Our regular office hours are Monday through Friday 8am to 5pm. Please call the office during these hours to schedule your appointment. If you need to be seen for a same-day visit, please refer to the walk-in policy section.

 

Well-Check Appointments for children, which may include immunizations: Due to the large volume of acutely ill patients we see each day, please call 6 to 8 weeks in advance to schedule a well checkup for your child, or schedule the next well child checkup appointment at the time of check out during your current visit.

 

Adult Complete Physicals: Please call 6 to 8 weeks in advance to schedule. It is good practice to ask your doctor at the end of each visit when you need to be seen next. This will ensure that you have ample time to arrange your calendar. Please bring all medications to each visit.

Patient Forms

Below are the Patient Forms for our Family Practice, Internal Medicine and Pediatrics Practices. These Forms can be faxed to your specific Practice or can be brought in with you at your next visit. For our Specialty Practices Patient Forms, please visit each Practice's specific Webpage found by clicking here.

Randolph Health Family Practice in Liberty and Seagrove; Randolph Health Internal Medicine in Asheboro; Randolph Health Internal Medicine – Dr. Douglas Schultz and Randolph Health Pediatrics
Pediatric Patient Registration (English)
Pediatric Patient Registration (Spanish)
Adult Patient Registration (English)
Adult Patient Registration (Spanish)
Adult Patient History
Acknowledgement of Receipt of Privacy Notice (English)
Acknowledgement of Receipt of Privacy Notice (Spanish)

Notice of Privacy Practices (English)

Notice of Privacy Practices (Spanish)
Patient Rights and Responsibilities (English)

Patient Rights and Responsibilities (Spanish)

​

Pediatric Extended Hours and Weekend Appointments

 

Randolph Health Medical Group pediatric providers periodically conduct extended hours and will be glad to see you if you are sick and need to be seen during extended hours or on Saturday mornings. These hours may vary.

 

Pediatric Extended Hours (as needed):

Monday through Thursday until 6:30pm (seasonal)

Saturday 8am to 11:30pm

 

Check with Randolph Health Pediatrics at 336-625-2467 to inquire about the extended hours on a given day.

 

Walk-Ins

 

If you need an appointment on the same day, you must call ahead to schedule. Should you not be able to call and obtain an appointment before arriving at the office, you will be assessed by a member of our clinical staff to determine if you are in need of immediate medical care. If you are in need, you will be worked in between our scheduled patients. If you do not have an immediate need, you will be given an appointment to be seen by your physician at a later time.

 

Reschedule/Cancellations

 

Please help us to direct our resources to patients who need our services by calling 24 hours in advance of your appointment to cancel or reschedule.

 

No-Show Policy

 

If you fail to show for an appointment more than one time over a six-month period, your Randolph Health Medical Group account will be assessed a $25 charge. If you have another no-show you could receive a dismissal letter from the practice. Please make every effort to make your appointment or call us at least 24 hours in advance to cancel or reschedule your appointment with us.

 

Keep Us Updated

 

Please inform us of any address, phone number or insurance change as soon as the information becomes available. This will enable us to contact you and will prevent us from filing a claim with an invalid insurance carrier. Please bring your current insurance card to every visit.

Insurance Participation

Accepted Insurance Plans 2023-2024

• Aetna

• AmeriHealth Caritas NEXT

• Ambetter Exchange (Commercial Products ONLY)

• BCBS

• BCBS State Health Plan

• BCBS State Health Plan Clear Pricing Project (CPP)

• Blue Local Wake Forest/Randolph

• Cigna/Great West

• Cigna—RPN for Physical Therapy ONLY

• Humana Military/TriCare East

• MedCost

• Medicaid

• Managed Medicaid

  • AmeriHealth Caritas

  • Carolina Complete Health

  • Healthy Blue

  • UHC Community Plan

  • WellCare

• Medicare

• Multiplan

• NC Health Choice

• Railroad Medicare

• VA CCN thru UHC/Optum (replaces TriWest)

• United Health Care

  • All Savers Health Plan

  • Heritage UHC of River Valley

  • UHC Choice and Choice Plus

  • UHC Choice Advance & Advance Choice Plus

  • UHC Edge

  • UHC Navigate

  • UHC NexusACO

  • UHC Options PPO Plans

  • UHC Tiered Benefits Plan

  • UMR

  • UHC Compass HMO (Multiple Exchange Plans)

• Workers Comp Carriers

  • Berkley Comp Care/Med Advantage

  • Clear Comp (PT only)                

  • Corvel/CorCare/Care IQ

  • Employer's Choice Network

  • Key Scripts

  • MedRisk

  • One Call Care (Formally Align)

  • Paradigm Specialty Networks

  • Reli (formerly Workwell)

  • Select Medical/RPN

  • SP Net Clinical Solutions

  • Sedgwick Provider Network (SPN)

  • US Department of Labor

Medicare Advantage Plans 2023-2024

• AARP Medicare Complete Plan I, II & III

• AARP Medicare Complete Choice (PPO)

• AARP Medicare Complete (HMO)

• AARP Medicare Complete Essential (HMO)

• Advantra Gold Advantage

• Aetna Medicare Premier Plan

• Blue Medicare HMO & PPO

• Cigna Medicare

• Coventry Health Care

• Devoted Health

• Erickson Advantage Plans (UHC Product)

• Health Team Advantage

• Healthy Blue + Medicare

• Humana Medicare

• Liberty Medicare Advantage

• Troy Medicare Advantage

• United Health Care Dual Complete Plans

• United Health Care Group Medicare Advantage Plans

• WellCareHealth Plans

HMO — Health Maintenance Organization have a defined network of contracted local physicians & hospitals to provide member care.

PPO — Preferred Provider Organization offer members access to a network of contracted physicians and hospitals, but also allow them the flexibility to seek covered services from outside of the contracted network, usually at a higher cost.

Insurance Participation is subject to change. If your insurance company is not listed above, please contact Patient Accounts at 336-625-6072 to verify if the coverage is accepted.

 

Please bring your insurance card to every visit so we can verify we have the correct information to properly file your visit to the insurance company. Let the receptionist know if your insurance, address, telephone number, emergency contact or employer has changed.

 

Questions Concerning Your Bill or Insurance

 

Should you have questions concerning your bill or insurance, please contact our Billing and Insurance Department at 336-625-6072. A courteous Patient Accounts Representative will handle your call.

 

Payment/Collections

 

Payment-in-full is expected at the time of service. If Randolph Health Medical Group participates with your insurance carrier, you will be expected to pay any co-payment, co-insurance or deductible required by your benefits contract. If Randolph Health Medical Group does not participate with your insurance plan (out-of-network), you will be expected to keep your account current at all times. In these instances, we will file your claim as a courtesy. Should your insurance carrier require a special claim form, please provide us with the necessary documentation. Should you fail to make a required payment when services are rendered, a Patient Accounts Representative will speak with you directly and/or contact you to obtain a payment commitment. As a general rule, all claims will be filed with an "Assignment of Benefits," which will be obtained from you. We encourage patients who have questions and/or concerns about their bill to contact Randolph Health's Insurance Department at 336-625-6072. If your account gets turned over to a collection agency, your account will be charged a $20 processing fee.

 

Advance Beneficiary Notice

 

There may be services that your insurance carrier does not cover because they do not consider it medically necessary. When we determine that one or more of these services may benefit you, we will ask you to sign a statement acknowledging your possible financial responsibility for these services. Should your insurance carrier deny these services, you will be billed accordingly.

 

Records Transfer

 

A request for medical records transfer made by you will typically take up to two weeks to process. In order to protect the privacy of your medical information, a "Release of Information" must be completed and signed by you. If you have not been seen at Randolph Health Medical Group within the last three years, there will be a $10 charge for record retrieval and processing.

 

Request for Paperwork Completion

 

Should you request that your physician complete and sign special forms or documents required by your insurance carrier and/or employer, or for medication assistant programs, there will be a nominal charge for this additional service.

 

Prescription Refills

 

To expedite the refilling of your prescription, contact your pharmacy for a refill. Even if your prescription has expired, your pharmacy may obtain a new prescription by calling our office. Calling the office directly could result in a delay in obtaining the necessary refill. If your doctor has asked to visit with you prior to providing you with a refill, please contact the office to schedule an appointment within enough time to avoid a lapse in medication. Typically, there is a 48-hour wait for your refill. Medication refills will not be called in after normal business hours. If you will require a medication refill prior to your next scheduled visit, please inform your physician during your current visit.

 

Privacy of Patient Information

 

Randolph Health Medical Group will treat the information contained in your medical record in a confidential manner. For more specific information concerning our policy and your rights with regard to the privacy of your health care information, please ask for a copy of our brochure entitled, "Notice of Privacy Policies."

 

Patient Bill of Rights

 

Your rights as a patient are important to us. We have them posted in our waiting room and encourage you to review them at your next visit.

 

Advance Directives

 

Should you be interested in providing us with an advance directive, please discuss this with your physician.

 

Suggestions, Concerns and Complaints

 

Your experience with our practices and providers is very important to us, and we would like to hear from you. We email our Randolph Health Medical Group "Patient Satisfaction Survey” to patients who provide their email address periodically after their appointment with us. This email, which comes from Phreesia, will include an invitation to take a brief on-line survey using the embedded link. We would greatly appreciate you taking a few minutes to complete the questionnaire. (If your appointment was with Randolph Health Gastroenterology, your survey will be mailed to you.)

Should you have a more immediate concern, please direct your call to our Administrative office at 336-625-2333.