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Billing

We are NOT an urgent care clinic.

El Paso Emergency Room is a freestanding emergency room licensed by the State of Texas.

 

El Paso Emergency Room is happy to bill your insurance company and works with all major private insurance plans.. We are unable to accept government-sponsored insurance at this time, such as Medicare, Medicaid, CHIP or Tri-Care.

What happens at the time of my visit?

El Paso Emergency Room will collect the emergency room co-pay, and your insurance will be billed as per your emergency room benefits. Patients may also elect to be seen as self-pay patients.

What happens after my visit?

Your insurance company will receive two separate claims; one claim for the facility (El Paso Emergency Room) and one claim for the physician (Odin Emergency Physicians). Your insurance company will not be charged separately for radiology, pathology or cardiology over reads as with hospital based ERs. These charges are included in your facility bill.

You will be responsible after your insurance company processes the claim, you will be responsible for those charges. If you disagree with the final outcome of the claim processing, please call our billing company for assistance.

 

Please be advised that El Paso Emergency Room is not contracted with any specific commercial insurance providers and are considered an out of network provider.

 

However, if you are judged to have a medical emergency, Texas insurance laws require commercial insurance companies to pay for all necessary emergency medical services, including those furnished by out of network providers, at in-network rates.

 

The determination of what constitutes an emergency medical condition is based on a prudent layperson definition, not the arbitrary definition of the insurance companies.

 

We cannot anticipate accurately what specific rates your carrier will apply for individual services rendered.

 

We encourage you to contact our billing company if you have any concerns, questions, or have difficulty paying your bill. You can contact the billing company, Win & Associates, at 713-554-6300.

Your Rights and Protections Against Surprise Medical Bills

When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible. What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, like a copayment, coinsurance, or deductible...

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