Trust
How we write, review and correct health information
Health content is easy to fake and hard to do honestly. This page sets out exactly who writes ours, who reviews it, what counts as evidence, and what we will never claim.
Who writes this site
Pages are written by the Presence care team for people considering care with us. They are written to be useful before they are persuasive, which is why several of our pages tell you not to book — a rash that needs touching, a form that needs an examination, a medication we do not prescribe.
Presence care is delivered by licensed providers, including a board-certified Adult-Gerontology Primary Care Nurse Practitioner. We never describe our provider as a physician, doctor, internist or geriatrician, and we never imply that software makes a clinical decision. Whole Family Virtual Care visits are provided by that network's clinicians, and pages say which pathway they describe.
How a health answer gets published
Every answer moves through the same four stages, and only the last one is public. Nothing reaches this site labelled as finished medical guidance while it is still being written or waiting on clinical sign-off — it simply is not published yet.
- Draft. Written and structured. Not public, not linked, not in our sitemap.
- Clinical review. Fact-checked and awaiting a clinician's sign-off on the clinical wording. Still not public.
- Approved. Cleared, then checked for accuracy of prices, scope and internal links.
- Published, with a review date. Public, and scheduled to be re-checked rather than left to drift.
Before publication, an answer must clear a fixed gate: a direct answer near the top, enough substance to be genuinely useful, at least two follow-up questions answered, contextual links to related reading, and — on any symptom, condition or medication page — an explicit statement of the warning signs that mean urgent or in-person care instead. Clinical pages also state what a virtual visit cannot do.
A named clinical reviewer appears only where that clinician has actually reviewed the wording. Everything else says “written by the Presence care team”, because that is the truth. See our provider's verified credentials.
What "medically reviewed" means here
A named clinical reviewer appears on a page only after a licensed clinician has actually read that page's clinical claims and signed them off. If you do not see a reviewer credited, nobody has yet reviewed it, and the page says so in its own words rather than borrowing credibility it has not earned.
We keep an internal review list of every page carrying clinically substantive content, with the exact sentences a clinician must approve. Pages whose entire purpose is symptom-level triage instruction are kept out of search results until that sign-off happens. Pages that explain how a service, price or pathway works remain available while awaiting review, because their clinical framing is deliberately conservative: "may be appropriate for virtual evaluation", never "we treat this online".
Three things we will not do, in any circumstance:
- Credit a review that did not happen, or attach a clinician's name to unreviewed text.
- Claim independent third-party editorial review — our review is internal and we say so.
- Change a visible update date to look fresh when nothing of substance changed.
What counts as evidence
Clinical statements follow published guidance, in this order of preference. Operational statements — prices, terms, availability, scope — are held to a different standard: they must trace to an approved internal record, and any claim whose substantiation lapses comes off the site rather than being quietly softened.
- Government, regulator and primary guideline — CDC, FDA, CMS, state boards of nursing, state telehealth statute. Used for: Clinical, regulatory, scope-of-practice and coverage statements.
- Major specialty society guidance — AAFP, IDSA, AAP, ACOG, ADA, AGS. Used for: Condition-specific appropriateness, red flags, screening intervals.
- Peer-reviewed evidence — Systematic reviews, cohort studies in indexed journals. Used for: Where guidance is silent or contested. Never a single small study alone.
- Internal verified operational fact — verification.ts records, signed partner pricing terms, membership agreement. Used for: Prices, terms, availability, scope and process claims only. Never a clinical claim.
A competitor's marketing page is never evidence for a medical or pricing claim, and neither is an AI-generated summary. Where guidance is genuinely uncertain, we say it is uncertain.
Claims we do not make
- No guaranteed prescription, antibiotic, note or diagnosis from any visit.
- No "all insurance accepted" and no "all Medicare plans accepted". Coverage and in-network status vary by plan and must be verified before a visit.
- No claim that every test or study saves 80–90%. Savings on labs and imaging are compared with traditional hospital pricing, require no insurance, and vary — so we quote your actual price before anything is ordered.
- No fabricated reviews, ratings, testimonials, awards or "number one" claims.
- No statistics, sample sizes or studies of our own until we genuinely have them, reviewed for privacy and methodology.
- No claim that virtual care can substitute for emergency care.
Re-checking and corrections
Pages are re-checked on a schedule set by what would make them wrong first. Coverage and availability statements are re-checked every 3 months, prices every 6, clinical content at least every 12, and general editorial pages every 18. A re-check is not a clinical review; only a clinician's sign-off is that.
Found something wrong? Tell us and we will correct it. Substantive corrections change the page and its update date. Clinical concerns about your own care should go to your provider directly.
Report an error or ask a question · Privacy practices · Emergency care notice
Last updated . Membership is not insurance.
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