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Insurance Information Nursing Careers

INSURANCE

Physicians Premier is pleased to support our mission of providing the most efficient, compassionate and patient centered emergency care. We are posting these important notices for your information. Please let us know if you have any questions. It is our privilege to serve your emergency care needs.

Texas Senate Bill 425

Senate Bill 425, passed by the Texas Legislature during the 84th Regular Session, requires all FECs to post notice of the following:

  • This is a Freestanding Emergency Medical Care Facility
  • This facility charges rates comparable to a hospital Emergency Room and may charge a facility fee
  • This facility or physician providing medical care at this facility may not be a participating provider in your Health Benefit Plan provider network
  • A physician providing medical care at this facility may bill separately from the facility for the medical care provided to you

Texas House Bill 3276

  • If we are not in-network with your particular health plan, Federal law requires insurance companies to process your ER visit at the in-network benefit level.
  • We are not yet recognized by Medicaid. If you would like to assist us in being able to accept these insurance plans, please contact your legislators.

Texas House Bill 2041

House Bill 2041, passed by the Texas Legislature during the 86th Regular Session, requires all FECs to post notice of the following:

  • This facility is a Freestanding Emergency Medical Care Facility.
  • This facility charges rates comparable to a hospital Emergency Room and may charge a facility fee.
  • The facility or physician providing medical care at this facility may be an out of network provider for the patient health benefit plan provider network.
  • A physician providing medical care at this facility may bill separately from the facility for the medical care provided to the patient.

Texas Senate Bill 2038

Freestanding ERs are required to publicly share testing charges or vaccinations for an infectious disease when a state of disaster has been declared.

FFCRA & CARES Act Provider Compliance Information

Pursuant to section 6001 of the Families First Coronavirus Response Act (the “FFCRA”) as amended by Sections 3201 and 3202 of the Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”) specifically as the foregoing relate to the provision and reimbursement of orders for and or administration of SARS-CoV-2 or COVID-19 (collectively, “COVID-19) in vitro diagnostic tests (including serological tests used to detect COVID-19 antibodies) as well as the provision and reimbursement of items and services furnished to individuals during visits that result in an order for, or administration of a COVID-19 in vitro diagnostic test(s) and or the provision and reimbursement of services related to the evaluation of such individuals by the attending healthcare provider for purposes of determining the need for the product or service in question, the following are the lists by provider of CPT codes (refer to fee schedule for associated cash prices) required by section 3202 (b) of the CARES Act related to the foregoing COVID-19 in vitro diagnostic testing services as well as said related items and services:

SARS-COV-2 COVID-19 ANTIBODY
SARSCOV2 COVID19 PCR

NO SURPRISE BILLING

Your emergency medical care should be covered at In-Network levels by law, regardless of the contracted status of the facility you seek care at. Surprise bills are a result of private insurers choosing to deny coverage of your emergency room visit. This can result in inflated patient financial responsibility.

Physicians Premier will never send you a surprise bill. We take great care to review each claim and ensure that your insurer processes the claim correctly.

For more information regarding the No Surprises Billing Act, download Your Rights and Protections Under the No Surprises Billing Act.

Physicians Premier Emergency Room is an out-of-network provider for all health benefit plans. However Federal law requires insurance companies to process your ER visit at the in-network level and guarantee coverage in a true emergency.

Fee Schedule

CORPUS CHRISTI

Download the Facility & Professional Chargemasters for all (5) of our Corpus Christi locations

Cibolo

Download the Facility & Professional Chargemasters for our Cibolo location

BULVERDE

Download the Facility & Professional Chargemasters for our Bulverde location

BRYAN

Download the Facility & Professional Chargemasters for our Bryan location

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