Texas Regulations

Texas Regulations

Senate Bill 425

  • Frontline ER is considered a freestanding emergency room.
  • Frontline ER charges rates that are comparable to a hospital’s emergency department and also charges a facility fee.
  • The physicians at Frontline ER may bill you for the medical care that you receive separately from the facility.
  • While Frontline ER and our team of physicians might not be a participating provider in our patient’s health plan network, state law says that your health insurance company is required to process the visit at in-network levels.

If you have more questions about Senate Bill 425, please visit http://tafec.org/fec-transparency/

As decided by the state of Texas, insurance carriers are required to pay in-network benefits to any of their members who receive emergency medical treatment. Even if your insurance provider classifies Frontline ER as an “out of network” emergency facility, it is still considered an emergency room treatment, and technically they are required to pay for it. Texas state law encourages all patients to use “prudent layperson standard” when it comes to determining whether your situation is classified as a medical emergency.

However, if your insurance provider still refuses to reimburse you for your emergency medical bill at Frontline or any other emergency room for urgent care in Richmond, you are able to file an official complaint with the Texas Department of Insurance. For more information about the Texas Department of Insurance or if you need to file a complaint, please visit:http://www.tdi.state.tx.us/