Seguin texas emergency physicians billing

Insurance companies must treat all emergency visits the same, regardless if you visit an in-network facility or an out-of-network facility. Your emergency visit at Texas Emergency Care Center is to be paid based on your in-network benefits, regardless of our relationship with your insurance company. This safeguards you so you are not searching for an in-network provider when you need care now. Insurance Code law can be found here.

Insurance Games
At Texas Emergency Care Centers we call this Delay, Deny & Underpay! Don’t be fooled by your insurance; they MUST pay for your emergency visits as long as you have emergency room coverage in your health insurance plan (don’t be surprised many plans do not have emergency coverage).

Their job is to make a hefty profit for their shareholders so they hold on to every penny they can, even if it’s at your expense.

Don’t worry, Texas Emergency Care Center has their number and we know how to play the game. We will work with you every step of the way to ensure that all the bases are covered and that the insurance plan pays at the appropriate regulated and contracted benefit level.

For more information regarding filing a complaint with the Texas Department of Insurance regarding your health insurance company visit http://www.tdi.texas.gov/pubs/consumer/cb003.html

Field Name Field Value

NPI 1427096023 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. Entity Type Organization Code describing the type of health care provider that is being assigned an NPI. Codes are:

1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Organization Subpart N The "Is the organization a subpart?" question must be answered. If the organization is a subpart = , the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents"). Here are three examples of organization health care providers that may be considered subparts and may apply for NPIs if so directed by their "parents": (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. The legal entity must obtain an NPI. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. Neither the pharmacy line of business nor the DME line of business represent legal entities; instead, both lines of business are part of an organization (the "parent") that is a legal entity. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. The "parent"-we don't know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI. Provider Organization Name (Legal Business Name) SEGUIN TEXAS EMERGENCY PHYSICIANS PA Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. Provider First Line Business Mailing Address 6300 LA CALMA DR The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''. Provider Second Line Business Mailing Address SUITE 200 The second line mailing address of the provider being identified. This data element may contain the same information as ''Provider second line location address''. Provider Business Mailing Address City Name AUSTIN The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''. Provider Business Mailing Address State Name TX The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''. Provider Business Mailing Address Postal Code 78752-3843 The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''. Provider Business Mailing Address Country Code US The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''. Provider Business Mailing Address Telephone Number 512-452-8533 The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ''Provider location address telephone number''. Provider Business Mailing Address Fax Number 512-452-9306 The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. Provider First Line Business Practice Location Address 1215 E COURT ST The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. Provider Business Practice Location Address City Name SEGUIN The city name in the location address of the provider being identified. Provider Business Practice Location Address State Name TX The State or Province name in the location address of the provider being identified. Provider Business Practice Location Address Postal Code 78155-5129 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. Provider Business Practice Location Address Country Code US The country code in the location address of the provider being identified. Provider Business Practice Location Address Telephone Number 830-379-2411 The telephone number associated with the location address of the provider being identified. Provider Enumeration Date 06/03/2006 The date the provider was assigned a unique identifier (assigned an NPI). Last Update Date 06/16/2009 The date that a record was last updated or changed. Authorized Official Last Name ROBERTS The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. Authorized Official First Name SAM The first name of the authorized official Authorized Official Title or Position PRESIDENT The title or position of the authorized official Authorized Official Credential Text MD Authorized Official Credential Text Authorized Official Telephone Number 512-452-8533 The 10-position telephone number of the authorized official. Healthcare Provider Taxonomy Code #1 207P00000X The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. Healthcare Provider Taxonomy 1 Emergency Medicine Physician Healthcare Provider Taxonomy #1 Healthcare Provider Primary Taxonomy Switch 1 Y Primary Taxonomy:

X - The primary taxonomy switch is Not Answered;
Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
N - The taxonomy is not the primary taxonomy.

Other Provider Identifier 1 0089NC Other Provider Identifier #1 Other Provider Identifier Type 1 OTHER Other Provider Identifier Type #1 Other Provider Identifier State 1 TX Other Provider Identifier State #1 Other Provider Identifier Issuer 1 BCBS Other Provider Identifier Issuer #1 Other Provider Identifier 2 178981002 Other Provider Identifier #2 Other Provider Identifier Type 2 OTHER Other Provider Identifier Type #2 Other Provider Identifier State 2 TX Other Provider Identifier State #2 Other Provider Identifier Issuer 2 CSHCN Other Provider Identifier Issuer #2 Other Provider Identifier 3 0077MY Other Provider Identifier #3 Other Provider Identifier Type 3 OTHER Other Provider Identifier Type #3 Other Provider Identifier State 3 TX Other Provider Identifier State #3 Other Provider Identifier Issuer 3 BCBS Other Provider Identifier Issuer #3 Other Provider Identifier 4 178981001 Other Provider Identifier #4 Other Provider Identifier Type 4 MEDICAID Other Provider Identifier Type #4 Other Provider Identifier State 4 TX Other Provider Identifier State #4 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP Healthcare Provider Taxonomy Group 1 Healthcare Provider Taxonomy Group Description 1 Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization. Healthcare Provider Taxonomy Group Description 1

seguin texas emergency physicians billing