Thank you for choosing Wylie ER for your emergency medical care. To better serve you, we want to make the billing process simple and transparent. We understand that some patients may find the billing process confusing or overwhelming. We want to help you understand your bill. Your bill may be different from other medical bills you may have received from hospitals or physicians. It’s important to note that Wylie ER is a freestanding emergency center.Wylie ER’s Billing Policy Expand
Wylie ER is out-of-network for all benefit plans including Medicare and Medicaid. We also accept out-of-pocket payment in the form of cash, checks or credit cards.
Your ER co-pay will be collected at the time of your visit. We will then bill your insurance company for the policy’s emergency room benefits. There will be two different claims mailed to your insurance company: the facility bill and the physician bill. If you have any questions concerning your bill please contact our Billing Department, Tyvan Billing at 713-357-2535.Insurance Benefits Expand
If you have health insurance, you will receive an EOB (explanation of benefits) from your insurance company in the mail. Taking the time to be familiar with your benefits will help you make the best decisions when seeking medical care. It is important to note that the EOB is not a bill.
Wylie ER is classified as out-of-network with many insurance companies; however, Wylie ER does honor all in-network deductibles and benefits.Are We In-Network? Expand
No we are not in-network with any health benefit plan provider. However for all cases deemed emergent, Texas state law requires your insurance company to pay for your emergency care, even if the emergency room is classified as out-of-network. The state of Texas empowers patients to use a standard called the prudent layperson standard when determining what constitutes as an emergency.Workers’ Compensation Expand
Workers’ compensation is a state-funded insurance program that gives covered employees income and medical benefits if they’re injured while working. Texas employers may choose to provide their employees with this coverage. Most employers will inform you as to whether or not you’re covered under this state plan.Workers’ compensation pays medical bills and is covered underneath the Texas Workers’ Compensation Act.For more information on workers’ compensation, visit this page.If you’d like to file or dispute a claim, call 800-252-7031, option 1, to speak with a representative with the Texas Department of Insurance.Why are Senate Bill 425 and House Bill 3276 so important to me? Expand According to guidelines set by the state of Texas, all freestanding ERs are required to post the notice below at their facility and website: • The facility is a freestanding emergency medical care facility; • The facility charges rates comparable to a hospital emergency room, and may charge a facility fee; • A facility or a physician providing medical care at the facility may not be a participating provider in the patient’s health benefit plan provider network; • A physician providing medical care at the facility may bill separately from the facility for the medical care provided to a patient; and. •This facility is not a participating provider in any health benefit plan provider network. However, by state law, your health insurance company is required to process your ER visit at in-network benefit levels.
At any point, if you would like to speak to our Billing Department, please call Tyvan Billing at 713-357-2535.