How Affiliate Providers Are Paid?

The Medallus Membership Program collects monthly membership fees from its members. The per visit Affiliate Provider fees are processed and distributed, less administrative fees, to the members of the Affiliate Provider Network on a monthly basis on or before the fourth Friday of the month following the visits made in the month of service.

The following overview is an actual example of a net membership fees collected and providers per visit fees paid. Net membership fees are total fees collected less administrative fees.

Required Legal Disclosures

What is covered and not covered by the Medallus Membership Program.

Download List

Click for Covered Services

Covered Services:

  • Non-Emergent Sick Visits- Strep, Flu, Upper Respiratory, Bronchitis, Pneumonia, Ear Infections, Sinus Infection, etc.
  • Scouts and Sports Physical
  • Missionary Physicals
  • Annual Wellness Physicals
    • Pap Smears (Additional cost from lab)
    • Breast CA Screening (Additional cost from lab)
    • Colon CA Screening (Additional cost from lab)
    • Prostate CA Screening (Additional cost from lab)
  • Urinary Tract Infections (Additional cost from lab)
  • Gastrointestinal Issues
  • Rashes
  • Blood Draws (Additional cost from lab)
  • Cerumen Removal (Ear Irrigation)
  • X-rays
    • Fractures
    • Sprains
    • Dislocations
  • Splinting (Ortho-glass)
  • Casting and Removal
    • Short Arm
    • Long Arm
    • Short Leg
  • EKGs
  • Injectable Medications
  • IV Hydration
  • Wart Cryosurgery
  • I&D Abscess
  • I&D Paronychia
  • I&D Pilonidal Cyst
  • I&D Hemorrhoid
  • Evacuate Nail Hematoma
  • Eye Issues (Conjunctivitis, Abrasion)
  • Ingrown Nails
  • Burns
  • Puncture Wounds
  • Foreign Body Removal
  • Lacerations
  • Tuberculosis Skin Test
  • Td Shot (Tetanus/Diphtheria)
  • Skin Biopsy Procedures (Additional cost from lab)
  • Skin Tag Removal
  • Piccolo (Additional cost from lab)
  • In House Lab Tests-
    • Rapid Strep Test
    • Rapid Influenza Test (A&B)
    • Rapid Mono Test
    • Urinalysis W/ or W/o Microscope
    • Glucose Reagent Strip Test
    • Hemoglobin A1c
    • Pregnancy Test
    • Lipids
    • Hemoglobin
    • H pylori
    • Guaiac Fecal Occult Blood Test
    • Wet Mount Smear
    • Fungus Slide Smear
    • Gram Stain Smear

Click for Services NOT Covered

Services NOT Covered:

  • Major catastrophic medical care
  • Services provided by Emergency Room, Hospitals, or any practices not affiliated with our clinics
  • Chronic pain management with narcotics/opiates
  • Substance abuse or withdrawal
  • Advanced psychiatric problems
  • Sports Medicine
  • DOT Physicals
  • Drug Screens
  • Worker’s Compensation
  • Chiropractic
  • Sleep Apnea Testing
  • Allergy Testing
  • Radiologist Over-read of X-ray
  • Vaccinations (Except Td):
    • DTap
    • Tdap (7 and up)
    • Hep A (Children)
    • Hep A (Adult)
    • Hep B (Children)
    • Hep B (Adult)
    • Twinrix (Hep A & Hep B)
    • Hib (Children)
    • Act HIB
    • Rotavirus or Rotateg (Infant)
    • Prevnar or PCV 13
    • Polio
    • Pneumococcal
    • MMR (12mo and up)
    • MMRV/Proquad (12mo, 4-6)
    • Varicella or Chicken Pox
    • Menactra
    • Meningococcal
    • HPV or Gardasil
  • Labs sent to 3rd party lab:
    • Blood Tests
    • Anaerobic/Aerobic Swabs
    • Urine Culture
    • STD Testing
    • Stool Culture
    • Pap Smears
    • Punch Biopsies
    • RPP
    • PGX
    • GI
    • Above included but not limited to
  • DME:
    • Ankle Brace
    • Back Brace
    • Cervical Collars
    • Clavicle Splint
    • Crutches
    • Doughnut Pillow
    • Elbow Strap
    • Finger Splint
    • Knee Brace-Hinged
    • Knee Brace-Immobilizer
    • Nebulizer Machine
    • Night Splint
    • Rib Belt
    • Shoulder Immobilizer
    • Sling
    • Surgical Shoe
    • Thumb Spica
    • Wrist Splint
    • Walking Boot