Patient Billing

Billing Disclosures and Patient Financial Rights

ER of Irving believes in full transparency about your care and its cost. This page carries the state and federal disclosures about our billing practices, insurance networks, and your rights as a patient.

Call (972) 893-3148
Email info@erofirving.com

Effective date: August 26, 2026

1. Texas freestanding emergency center disclosures

In compliance with Texas law (Senate Bill 425 and Senate Bill 1151) for freestanding emergency medical care facilities, ER of Irving makes the following disclosures:

  • 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.
  • This facility or a physician providing medical care at the facility may be an out-of-network provider for the patient’s health benefit plan network.
  • The physician providing medical care at the facility may bill separately from the facility for the medical care provided to a patient.
  • This facility is not a participating provider in any state or federal health care program, including Medicare, Medicaid, and Tricare.

To find out whether our facility is in-network with your plan, contact your insurance provider directly or ask our front desk staff before receiving non-life-threatening treatment.

2. Your rights and protections against surprise medical bills (No Surprises Act)

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 surprise billing, also called balance billing.

What is balance billing? When you see a provider, you may owe out-of-pocket costs such as a copayment, coinsurance, or a deductible. You may have other costs, or pay the whole bill, if you visit a provider or facility that is not in your plan’s network. Out-of-network providers may bill you for the difference between what your plan agreed to pay and the full amount charged. This is balance billing. The amount is often more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

You are protected from balance billing for emergency services. If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most they may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You cannot be balance billed for these emergency services. This includes services you may get after you are in stable condition, unless you give written consent and give up your protections for those post-stabilization services.

When balance billing is not allowed, you also have these protections:

  • You are only responsible for your share of the cost (the copayments, coinsurance, and deductibles you would pay if the provider or facility were in-network). Your health plan pays out-of-network providers and facilities directly.
  • Your health plan generally must cover emergency services without prior authorization, cover emergency services by out-of-network providers, base your cost-sharing on what it would pay an in-network provider and show that amount in your explanation of benefits, and count any amount you pay for emergency or out-of-network services toward your deductible and out-of-pocket limit.

If you believe you have been wrongly billed, contact the Texas Department of Insurance at 1-800-252-3439 or www.tdi.texas.gov. You may also call the federal No Surprises Help Desk at 1-800-985-3059 or visit www.cms.gov/nosurprises.

3. Right to a Good Faith Estimate (uninsured or self-pay patients)

Under federal law, health care providers must give patients who do not have insurance, or who are not using insurance, an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services, including related costs such as tests, prescription drugs, equipment, and facility fees.
  • Ask for a Good Faith Estimate in writing at least one business day before your service. You can also ask any provider you choose for one before you schedule a service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Keep a copy or a photo of your Good Faith Estimate.

For more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

Contact us about billing

If you have questions about your bill, our insurance networks, or our financial policies, contact our billing department:

ER of Irving
8200 N MacArthur Blvd, Suite 110
Irving, TX 75063
Phone: (972) 893-3148
Email: info@erofirving.com

Questions about a bill?

Our billing team can explain your statement, your insurance network, and your rights under the No Surprises Act.

Call (972) 893-3148
Email info@erofirving.com