1. What is the billing process at Exceptional ER?
Exceptional ER has a simple and flexible billing process that is quite similar to a conventional hospital-based ER. At the time of service, we collect any applicable copayments, deductibles, or coinsurance that is due at the time of service).
2. What if Exceptional ER is not in my insurance network?
Under the Affordable Care Act, health insurance plans are required to cover emergency services.
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.
3. What if a patient is facing trouble with the insurance company?
State law mandates insurance carriers to reimburse patients for their ER visits. In case an insurance company doesn’t agree to cover your emergency room visit, patients can exercise their right to file a grievance with the Texas Department of Insurance.
To learn more about the Texas Department of Insurance, please refer to their website: https://www.tdi.texas.gov/
4. Who will answer queries about your bill?
Most patients believe medical billing is a complex and time consuming process. At Exceptional ER, the billing process is easy and transparent. If patients have any questions regarding billing or insurance, please contact us. We will do our best to answer your questions.
5. What is a patient advocate and how can you contact them?
At Exceptional ER, we provide a patient advocate to our patients; the advocate provides guidance to patients and helps them understand the ER Bill and effectively serves as a liaison between the ER facility and the patient.
6. What insurances does Exceptional ER accept?
Exceptional ER will bill all major private insurance plans for patient care provided.
Unfortunately, we do not accept Medicaid or Medicare; But during this state of National emergency Exceptional Emergency Centers are now allowed to accept Medicare insurance for all eligible beneficiaries. (Not including Tyler)
If you do not have insurance, we can work with you to devise a cash fee schedule so that you can cover your visit. We assure you that there are no hidden fees or charges.
We can work on your behalf immediately after you discover an insurance processing error. Contact us to begin the appeals process.
Billed charges are comparable to hospital ER care. Services are billed at emergency center rates, not urgent care rates.
7. I received an Explanation of Benefits (EOB) after my visit to the ER. Is that my bill?
After a visit to the emergency room, patients receive an Explanation of Benefits (EOB). The EOB is NOT your bill; it is a statement from your insurance company that is sent to you and to Exceptional ER to explain the medical services that were covered and paid for.
8. What are my payment options if I cannot pay my balance in full?
If you are unable to pay your bill please call our billing office to discuss payment plans and other payment options.
- Our facilities are freestanding emergency medical care center;
- Our facilities charging rates comparable to a hospital emergency room and also charges a facility fee for medical treatment.
- Our facilities and physicians providing medical care at the facility may not be a participating provider in the patient’s health benefit plan or provider network.
- A physician providing medical care at our facilities may bill separately from the facility for the medical care provided to a patient.
- Our facilities are not a participating provider in any health benefit plan provider network at this time.
For ALL Patient Billing Inquiries:
Medical/ Billing Records request:
Insurance Companies and Adjustors
Phone: 469-341-7800 ext 202
Billing Office Manager
Phone: 469-341-7800 ext 202
Billing Department Address:
1100 S. Akard Street
Dallas, TX 75215
Patient Request for Itemized Bill and Health Information Forms (Online).