The following are examples of some frequent questions we receive on a daily basis regarding your bill.
McAllen Emergency Room has a simple and flexible billing procedure that is similar to a conventional, hospital-based emergency room. The amount that patients pay, including co-pay, deductible, and coinsurance, is largely determined by their health insurance policy.
Bylaw, patients are reimbursed by their insurance carriers for their ER visits.Texas law further requires insurance carriers to pay for a patient’s emergency care, whether the emergency room is “in-network” or “out-of-network.” The state of Texas empowers patients to use “a prudent layperson standard” in deciding what constitutes an emergency.
McAllen Emergency Room is not a participating provider with any specific commercial insurance carriers and is considered out-of-network for insurance purposes. Regardless of whether a facility is in-network or out-of network, however, the State of Texas requires commercial insurance companies to pay for medically necessary services at in-network rates, if you are deemed to have a medical emergency (defined by the “prudent layperson” standard). At this time, we are unable to accept Medicare, Medicaid and Medicaid HMO plans. If you do not have insurance, we will work with you so that you can cover your visit.
An Explanation of Benefits (EOB) is a notification provided to members when a health care benefits claim is processed by your insurance. The EOB shows how the claim was processed by the provider. The EOB is NOT a bill.
In situations where a patient is incapable of paying the balance in full, multiple payment options can be used through McAllen Emergency Room’s billing office. For example, a down payment, followed by an arranged payment plan upon discussing with our revenue cycle specialist team, to assist with your entire bill. For more information, please contact our billing department at (956) 420-9002.
We provide you with a patient advocate. Your patient advocate is responsible for guiding you through the process of understanding your emergency center bill. We want to make sure that you are taken care of from the moment you walk into our doors and receive our services, through the billing process. If you have a question about your bill, please e-mail email@example.com.