We understand medical billing can be very confusing. At Austin Emergency Center, we strive to be fair and transparent with your medical bill. We want to help you understand the bills you receive from us, which may be different from medical bills you’ve received from hospitals or physicians.
Our Billing Process
At the time of your visit, your emergency room co-pay will be collected. After your visit, two separate claims will be mailed to your insurance company; one for the facility and one for the physician. Your insurance company will NOT be charged separately for radiology, pathology, or cardiology reports, as is the case with hospital-based ERs. Instead, these charges are included in your facility bill. Please note: AEC is not in-network with any insurance benefit plans, however, your health insurance company is required by law to process emergency ER visits at an in-network benefit level.
See here for information on our Prompt Pay Discount. We accept cash, checks, and all major credit cards; including Visa, MasterCard, AMEX and Discover Card.
NOTE: Emergency rooms must maintain an extremely high level of preparedness to effectively treat emergency medical conditions and ensure you have access to the best in emergency care. Therefore, emergency rooms charge a facility fee for each patient visit to help offset the recurring costs associated with maintaining this level of preparedness that is much higher than traditional medical facilities. The facility fee is a charge that is calculated on several different factors and criteria by patient. Acuity level is determined based on; review of patient symptoms, history, physical information, severity of presenting issue, and necessary medical decisions made by the physician for any underlying issues (based on the information given as well as results of procedures and testing performed). These are graded as minimal, moderate and high severity.
About a month after your office visit, you will receive an Explanation of Benefits (EOB) from your insurance provider. You can review the EOB to fully understand your benefits; it explains what care you have received, what your insurance plan has paid and what your anticipated responsibility is (what you can expect to be billed). Your EOB is NOT a bill.
After applying your insurance provider’s benefit, if there is a remaining balance, AEC will send you a bill. This normally arrives 2-4 weeks after you receive the EOB. As a result of possible in-network adjustments, this bill might be less than what your EOB had shown.
If you have any questions regarding your bill, please contact our billing office at (832) 807-2956. Office hours are 7AM to 4PM, Monday through Friday. We will work with you quickly to resolve any differences.
We look forward to serving you in the future.