Montrose Emergency Room is a freestanding emergency room licensed by the State of Texas.
We are NOT an urgent care clinic. We are a full service free standing Emergency Room. Because of this, we must bill your insurance emergency room benefits.
Montrose Emergency Room is happy to bill your insurance company and works with all major private insurance plans. We are unable to accept government-sponsored insurance at this time, such as Medicare, Medicaid, CHIP or Tri-Care.
What happens at the time of my visit?
Montrose Emergency Room will collect the emergency room co-pay, and your insurance will be billed as per your emergency room benefits. Patients may also elect to be seen as self-pay patients.
What happens after my visit?
Your insurance company will receive two separate claims; one claim for the facility (Montrose Emergency Room) and one claim for the physician (Lough PLLC). Your insurance company will not be charged separately for radiology, pathology or cardiology over heads as with hospital based ERs. These charges are included in your facility bill.
Should you have any financial responsibility after your insurance company processes the claim, you will be responsible for those charges. If you disagree with the final outcome of the claim processing, please call our billing company for assistance.
Please be advised that Montrose Emergency Room is not contracted with any specific commercial insurance providers and is considered an out of network provider.
However, if you are judged to have a medical emergency, Texas insurance laws require commercial insurance companies to pay for all necessary emergency medical services, including those furnished by out of network providers, at in-network rates.
The determination of what constitutes an emergency medical condition is based on a prudent layperson definition, not the arbitrary definition of the insurance companies.
We cannot anticipate accurately what specific rates your carrier will apply for individual services rendered.
We encourage you to contact our billing company if you have any concerns, questions, or have difficulty paying your bill. You can contact the billing company, Win & Associates, at 713-554-6300.