Billing & Insurance Information

If your condition requires our Emergency Room services, you will be treated by a Emergency Medicine Board Certified Physician with specialized training and experience with trauma and emergent issues. The majority of our Physicians are veterans with decades of training to ensure you receive the best care possible.

Absolutely! Full Spectrum Emergency Room is equipped and staffed to treat emergency patients of all ages, no matter . Our Emergency Medicine Board Certified Physicians have specialized training in pediatric trauma and can handle emergent conditions in infants and children of any age. With a compassionate, caring staff and specialized pediatric equipment you can rest assured that your little ones are in excellent hands. If sub-specialty care is required, we will arrange for direct hospital admission to the appropriate facility of your choice without having to wait in a hospital emergency department.

Observation suites are available in our Emergency Room only. Our observation suites allow us to keep a patient up to 23 hours who do not require direct hospital admission so we may monitor any ongoing conditions and ensure you are back on the road to recovery before being discharged.

If a transfer is required to a higher level of care (i.e. a hospital), we will provide all of the coordination for this and you will be admitted directly into the hospital bypassing their Emergency Department. We have an ambulance transfer service to ensure your continuity of care.

At Full Spectrum Emergency Room we streamline the entire process of intake, treatment, and discharge. Our objective is to provide a non-rushed, comprehensive, quality experience by compassionate and professional staff. A provider will typically see you within a few minutes of arrival. It's our goal for most patients to be diagnosed, treated, and back home before most hospital emergency departments even begin treatment.

• Full Spectrum Emergency Room is a freestanding emergency medical care facility.
• The facility charges rates comparable to a hospital emergency room and may charge a facility fee.
 • The facility or a physician providing medical care at the facility may be an out-of-network provider for the patient’s health benefit plan provider network
 • The physician providing medical care at the facility may bill separately from the facility for the medical care provided to a patient.
 • Full Spectrum Emergency Room is a network provider with Blue Cross Blue Shield of Texas (Traditional Indemnity Business, PPO/POS Network, Blue Essentials & Healthselect Network, and Blue Advantage HMO Network) and Caprock Health Insurance.

If you have insurance coverage: You will be given at no cost to you, a Medical Screening Exam (MSE) by one of our Emergency Room Doctors who will explain what services he/she feels you require. If at that time you choose not to have the recommended services, you will be discharged at no cost to you.

 If you decide to continue with the recommended treatment, one of our Patient Care Coordinators will explain to you your insurance benefits and provide you with an “Out of Pocket Responsibility” form that you may be responsible for, after we submit to your insurance.

 If you decide to be seen by one of our medical professionals, and once your insurance claim has been processed, you may incur the “out of pocket” rate in which you agreed upon at the time of service, based upon the coverage amounts of your insurance policy. For example, if your policy has a deductible that has not been met or your co-insurance does not cover certain procedures you may be responsible for up to the “max out of pocket” rate at the time of service less any amount you may have already paid.

 If you are uninsured: Don’t worry, we have “TRANSPARENT” self-pay rates for Emergency Room visits and flexible payment arrangements.

Once your claim is processed, an Explanation of Benefits (EOB) will be generated to you from your insurance company. It is very important to understand that any amount shown on an EOB is NOT A BILL. If you have any billing question, please contact our billing department at 210-626-8825, M-F (8AM-5PM). An Explanation of Benefits (EOB) will always be sent by your insurance company and will show the benefits they have agreed to pay out based on your specific plan and what they feel you owe. These amounts include what was applied to your remaining deductible (if any) or your co-insurance (if any). You may receive separate EOBs for the facility and one for the physician.

If you have questions upon receiving your EOB, we are here to help. Our dedicated team of in-house billing professionals can check the status of your claim to ensure it has been processed correctly. The insurance claim process can take time and appeals may be made to negotiate reimbursement in cases where insurance companies are not initially covering certain procedures or costs that should qualify. You will never be billed for a greater amount than what is agreed upon during the time of service. If any questions arise, please contact our billing department at 210-626-8825, M-F (8AM-5PM).

Emergency Room: Full Spectrum will appeal your claim on your behalf but at some point, we may need your assistance during the appeal process, we may contact you to simply “help” us in communicating with your insurance company, please respond in a timely manner.

You will receive two separate bills from us. One will be a facility bill for any emergency room testing and/or procedural charges. The second bill is a professional bill for the professional emergency physician charges and will be billed under PVD Medical Associates. The total between the two bills will equal the total “out of pocket responsibility” that you agreed to at the time of service. If you have questions concerning either of these bills, please do not hesitate to contact us as billing amounts are different for each patient based on their treatment, insurance, and their “max out of pocket” at time of service. If your bill is higher than your “out of pocket responsibility,” total simply call our billing department at 210-626-8825, M-F (8AM-5PM) for an adjustment.