Billing and Insurance
Total Point ER Billing and Insurance
Billing and Insurance
When medical emergencies occur, the last thing you should worry about is billing or insurance paperwork. At Total Point ER, we believe financial concerns should never delay the care you deserve. Our mission is to ensure your experience is seamless, transparent, and stress-free from the moment you arrive.
Understanding Your Billing Process
To ensure your visit goes smoothly, please keep your insurance information readily available when you arrive. This allows our team to process your visit efficiently and provide clear information about your coverage and potential costs.
Our Patient Advocacy Team is available to assist you with billing and insurance-related questions before, during, or after your visit.
Important: Medicare, Medicaid, and TRICARE do not provide coverage for freestanding emergency room services in Texas, including those at Total Point ER.
Insurance Coverage Overview
At this time, Total Point ER is out-of-network with all major health insurance plans. However, we are committed to supporting our patients throughout the reimbursement process.
- We bill your insurance provider according to your established plan for reimbursement.
- Our advocates help you understand your Explanation of Benefits (EOB) and any out-of-pocket expenses.
- All charges are based on your clinical presentation and medical diagnosis at the time of treatment.
For assistance with coverage questions, copayments, or facility fees, please contact our Front Desk Administrative Staff or Patient Advocacy Team.
Texas House Bill No. 2041 – Facility and Patient Disclosure Notices
In compliance with Texas House Bill 2041, effective September 1, 2019, Total Point ER provides the following legally required disclosures for all patients:
Facility Posting Notice
- This facility is a freestanding emergency medical care center.
- Charges are comparable to hospital emergency room rates and may include a facility fee for treatment.
- Either the facility or the attending physician may be out-of-network with your health benefit plan.
- Physicians providing care may bill separately from the facility.
- Total Point ER is out-of-network with all benefit plans at this time.
- If you have any questions, please inform our Front Desk Administrative Assistant, who will connect you with Center Management for immediate assistance.
Patient Disclosure Notice
As part of the same legislation, Total Point ER is also required to disclose the following information to all patients or their legal representatives:
- Total Point ER is currently out-of-network with all health insurance plans.
- A facility fee is charged for medical treatment.
- Insurance billing is completed in accordance with the patient’s individual plan and reimbursement policies.
- All charges are based on patient presentation and clinical diagnosis determined at the time of care.
Why Choose Total Point ER
At Total Point ER, your health is our top priority. We handle billing with transparency and integrity so you can focus solely on recovery.
- 24/7 emergency medical care with minimal wait times
- Full transparency in billing and facility disclosures
- Supportive patient advocates to guide you through insurance claims
- State-compliant documentation and ethical billing practices
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Our Services
FAQs – Billing & Insurance at Total Point ER
1. Does Total Point ER accept Medicare or Medicaid?
No. Medicare, Medicaid, and TRICARE do not cover freestanding emergency room services. However, our team can guide you through available payment options and provide documentation to support reimbursement or medical expense filings.
2. How can I find out if my insurance will cover a visit?
Total Point ER is currently out-of-network with all health plans. Our billing team will still file a claim on your behalf and assist with any reimbursement steps. Patients are encouraged to verify details with their insurance provider.
3. Will I receive separate bills for my visit?
Yes. You may receive separate bills—one from Total Point ER for facility services and another from the physician who treated you. This is standard practice as outlined under Texas House Bill 2041.
