Insurance information
At ER OF FORT WORTH, we prioritize your access to essential medical care without the hindrance of billing concerns.
While ER OF FORT WORTH maintains in-network status with major health plans across the United States, it’s possible that we may considered out-of-network by certain insurers. However, be assured that both state and federal regulations mandate that your visit will processed and reimbursed at an in-network benefit level, safeguarding your financial interests.
Moreover, er of fort worth committed to providing flexible and fully transparent billing practices tailored to accommodate your financial circumstances. Even if insurance coverage is unavailable, rest assured that er of fort worth remains committed to assisting you in accessing the care you need.
Discuss your Complete Care billing questions
Have a question about your bill? Call us at 832-273-1603
Title 42 of the United States Code, Section 2799B-3 of the Public Health Service Act: Safeguards Against Surprise Billing
he Public Health Service Act, amended in 2021 with an effective date of January 1, 2022 requires health care providers and facilities to post a notice of the following:
You shielded from balance billing under the following circumstances:
Emergency Services:
⦁ In the event of an emergency medical condition and the receipt of emergency services from an out-of-network provider or facility, your financial responsibility capped at your plan’s in-network cost-sharing amount (e.g., copayments, coinsurance). Balance billing for emergency services prohibited.
⦁ This protection extends to services received post-stabilization unless you provide written consent to waive these protections against balance billing.
Certain Services at In-Network Facilities:
⦁ When obtaining services at an in-network hospital or ambulatory surgical center, some providers may be out-of-network. However, they limited to billing you the in-network cost-sharing amount designated by your plan.
⦁ This applies to specific services such as emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers cannot engage in balance billing or request you to waive your protection against it.
⦁ For other services received at in-network facilities, out-of-network providers cannot issue balance bills without your written consent to relinquish these protections.
It’s important to note that you are never obliged to waive your protection against balance billing, nor are you compelled to seek care out-of-network. You have the freedom to select providers or facilities within your plan’s network.
Additional protections when balance billing prohibited include:
⦁ Responsibility limited to your share of costs (copayments, coinsurance, deductibles) as if the provider or facility were in-network.
⦁ Direct payment by your health plan to out-of-network providers and facilities.
⦁ Coverage of emergency services without prior authorization.
⦁ Inclusion of amounts paid for emergency or out-of-network services toward your deductible and out-of-pocket limit.
For further details, please refer to the full disclosure. If you believe you have received an erroneous bill, please contact Er of fort worth ‘s billing team at 832-273-1603 or the Federal No Surprises Helpdesk at 832-273-1603
Texas Senate Bill 425, enacted during the 84th Regular Session of the Texas Legislature
Title 42 of the United States Code, Section 2799B-3 of the Public Health Service Act: Safeguards Against Surprise Billing
Texas House Bill 3276
stipulates that the facility is not a participating provider within any health benefit plan provider network.
Our commitment is to assist every patient who seeks care at our facility. We ensure that our patients are never subjected to surprise billing. We handle the filing process with insurance companies on your behalf. Above all, we prioritize advocating for our patients’ well-being.
- This establishment is a Freestanding Emergency Medical Care Facility.
- Charges at this facility are comparable to those of a hospital Emergency Room, and a facility fee may apply.
- The facility or attending physician may not be contracted as a participating provider within your Health Benefit Plan network.
- Liver Function Tests
- Physicians providing medical care at this facility may bill separately for their services.
