Texas Regulations

Texas Regulations

Senate Bill 425

  • Frontline ER is a freestanding emergency room.
  • At Frontline ER we charge rates that are comparable to a hospital emergency department, including a facility fee.
  • Our physicians at Frontline ER may bill separately from the facility for the medical care provided to you (the patient).
  • Frontline ER and our emergency physicians may not be a participating provider in your (the patient) health plan network. However, by state law your health insurance company is required to process your ER visit at in network benefit levels.

Have additional questions regarding Senate Bill 425? For more information click here.

According to guidelines which were set by the state of Texas, insurance carriers are required to pay in-network benefits to any member who is receiving emergency medical treatment. Regardless of if your insurance provider classifies our emergency facility as “out-of-network” they are still required to pay for any emergency room treatment. You as the patient are empowered by Texas state law to use “prudent layperson standard” when it comes to deciding whether you are having a medical emergency or not.

If your insurance company is refusing to reimburse you for a visit to Frontline ER or any other emergency room visit you can file an official complaint with the Texas Department of Insurance.

Have additional questions regarding the Texas Department of Insurance or filing a complaint? For more information, visit http://www.tdi.state.tx.us.