A licensed emergency room does not need to be in any type of insurance network. We currently have agreements with most major insurance companies, but according to Texas statutes, all insurance companies are required to pay in-network benefits for any member presenting for emergency medical treatment. YOUR INSURANCE MUST PAY FOR AN IMMEDIATE CARE OR CRITICAL CARE VISIT WHETHER IT IS IN NETWORK OR OUT OF NETWORK. This law is meant to be protective, preventing time being lost by the patient having to search for an in-network facility. We will file the insurance for you.
State law requires patients to be reimbursed for emergency room visits by their insurance carrier. If your insurance company refuses payment for your emergency room visit, you can file a complaint with the Texas Department of Insurance. To learn more about the Texas Department of Insurance, please refer to their website: http://www.tdi.state.tx.us. To contact the Texas Department of Insurance by phone or mail:
333 Guadalupe, Austin 78701
P.O. Box 149104, Austin 78714
Consumer Help: 1-800-252-3439
Report Fraud: 1-888-327-881