Why do long-time patients sometimes see “New Patient” fees when booking?
This usually happens when a returning patient books using a different profile than the one they originally used.
If the system can’t match the booking to their existing record, the patient is treated as “new,” which triggers the New Patient fee.
“Different” can mean:
Here is how you can handle it depending on the situation:
If you haven’t accepted the booking yet, this is the easiest fix.
👌🏼 What to do:
Ask the patient to cancel the request and book again.
💡 Helpful tip:
Remind them to log in to the NowServing App using the same mobile number they used previously and select their original profile.
If the patient has always seen you in person and is using the app for the first time, the system doesn’t yet know they’re the same patient.
👌🏼 What to do:
Send them your NowServing link. Once they open it, their app profile will automatically link to your existing record.

💡 Pro tip:
You can also schedule the visit yourself and set the correct fee. When the patient accepts the invite, they’ll see the rate you set.


If payment has already gone through and the fee is wrong, you have two easy options:


Questions or stuck on a step? Our support team can guide you through the process.
Patients who didn’t book through NowServing, or who haven’t received a NowServing link from you yet, won’t be able to message or upload files by default.
For messaging to work, their NowServing profile needs to be verified and linked to their patient record in SeriousMD.
Messaging, file uploads, and access to notes only work after a patient’s NowServing profile is connected to the record you have of them in your SeriousMD account.
Without this link, patients simply won’t see the option to message you.


Once the patient completes profile verification, you’re all set!
This only needs to be done once per patient.
Not necessarily!
If you send the patient any of the following:
They’ll receive a notification with a link.

When the patient clicks that link:
This process links their profile automatically.
Once a patient is linked to you on NowServing, they can:
✅ To avoid issues with messaging or file uploads, make sure your in-person patients are linked on NowServing before asking them to send lab results or messages.
Does cancelling, marking an appointment as No Show or removing the appointment from your queue automatically refund the patient? 🤔
If a patient has already paid, you’ll need to process the refund separately.

Once voided, the payment will be refunded to the patient.
Important note:
If the payment was made more than 7 days ago, it can no longer be refunded directly on your end.
Please contact the support team and provide the payment details so they can help with processing the refund.
Do I need to wait for my payout before refunding the patient?
No. You don’t need to wait for your payout. You may void the payment yourself, or ask the team to void it for you.
The refunded amount will not be included in your next payout.
What if I’ve already received my payout — how do I refund the patient?
You can still refund the payment through the platform. The refunded amount will be adjusted in your next payout.
Can I refund the patient directly (cash or bank transfer) instead of through SeriousMD?
We strongly recommend processing refunds within SeriousMD. Patients pay a service fee on top of your professional fee.
If you refund them directly, the service fee isn’t automatically returned and would need to be handled separately.
Refunding through the platform avoids extra steps and back-and-forth for both you and the patient.
If I decline an appointment request, will the patient be refunded?
Yes they will! Once declined, the patient's payment will be automatically refunded back to them.
How long does it take for the patient to receive their refund?
If the patient hasn’t received the funds after this period, we recommend that they contact their bank directly.
Here are a few important things to keep in mind when accepting appointments on the platform.
By default, you have 24 hours to respond to a patient’s appointment request before it expires.
Why is this important?
So that patients aren’t left waiting for a response after their selected appointment date has already passed.
The number of hours an appointment request stays pending is called your reply time guarantee.
👉 This can be adjusted anytime in your clinic settings, depending on how quickly you usually respond to requests.
Yes! While the appointment request is still pending, you may message the patient if you need more details or want to clarify anything.
📌 Important:
Messaging the patient will automatically extend the appointment request for an additional 7 days.
If the appointment request is not accepted within the extended period, it will automatically be cancelled.
If you message the patient and intend to proceed with the consultation, make sure to ACCEPT the appointment.
If the request remains pending:
💬 Need help or have questions?
If anything is unclear or if you need help with adjusting your settings feel free to reach out to us via chat.
To kick off the year smoothly, here are 5 quick things to review to make sure your clinic details, schedules, and fees are all up to date for your patients.
☑️ Update your clinic schedule


☑️ Review and update your consultation fee (for paywall users)

Note: Don’t forget to also review your fees under Billing > Catalog > Services!
☑️ Block 2026 holidays

☑️ Update your PTR number

☑️ Let patients know your clinic is open!


✨ Happy New Year, and here’s to a great year ahead!
Planning to close or adjust your clinic schedule this holiday season? Here are the most common scenarios and how you can set them up:
Via Web:
Go to Calendar → click the + button (right side of your screen) → select Add Day Off → set your date range → Save.

Via the SeriousMD app:
Go to Calendar → click the + button (left side of your screen) select Create Day Off → set your date range → Save.

Go to Clinics → click Edit beside the clinic you want to close.


Don’t forget: Switch it back to Yes once you're ready to accept bookings again after the holidays.
Go to Clinics → click Edit on the clinic you want to adjust → go to Question #4 → update your clinic hours.

If your scenario is different and you’re unsure which setup to use, just message us and we’ll recommend the best option.
We’ve updated the payment links sent to your patients when you issue an Online Bill.
These links will now appear as smd.now/[code] instead of the longer payments.seriousmd.com format.
It’s the same secure SeriousMD payment system, just shorter, cleaner, and easier for patients to recognize.
If patients often ask, “Doc, may senior/PWD discount po ba?”, this is something you can do.
Automatically apply PWD and Senior Citizen discounts during booking. 👍
Step 1: Go to Clinics > Edit
Step 2: Under How much will patients pay, choose Varies by Patient Type
Step 3: Tick PWD and Senior, set your rates, and Save

Once their ID is uploaded, the system does the math for you. 😉
For Seniors: As long as they enter their correct birthdate, they’ll be given the option to upload their Senior ID.
📝 Note: You can set this up whether or not you use the paywall feature. For non-paywall users, your fee will show up as a range (ex. 300-500) since you have set varying fees per patient type.
It’s also a great way to let patients know how much to prepare before their appointment.
Sometimes patients may come back with requests or issues related to their notes, prescriptions, or certificates. Here’s how you can quickly address common situations:
1. Patient’s Name Was Incorrect in the Records
If a patient booked online with the wrong spelling of their name:


The updated notes will now reflect the corrected patient information.
2. Patient Requests a Prescription Again, But the Date is Old
If a patient asks for the same prescription you issued before, don’t resend from the old encounter (this will keep the old date). Instead:

This ensures today’s date is reflected on the Rx.
💡 Note: Resending directly from an old encounter will always show the date of that encounter. Creating a new prescription guarantees that the Rx shows the correct date.
❓ Have another note-related concern you’re not sure how to handle? Just send us a message and we’ll be happy to guide you!
Patients can now earn points when they have their lab tests done at Exact Check Diagnostics with branches in Quezon City (Banawe and Libis). 🙌
Here’s how it works:

This means every successful referral to Exact Check Diagnostics not only helps patients get their tests conveniently done, but also rewards them along the way.
👉 Click below to explore Exact Check Diagnostics’ services and locations.
💡Know a facility or hospital that should join the Connected Care Network? Let us know!