Upon being admitted or receiving services, the patient or patient's legal representative may receive bills from the Hospital, the patient's physicians and affiliated physician groups that may provide facility-based services to the patient as noted below:
Tips that will help reduce insurance and billing difficulties
Review your family’s health insurance policy and become familiar with the co-pays, services, tests and treatments covered, as well as the steps required to get referrals.
If your insurance company requires a referral for testing or future visits, you must contact your primary care physician (PCP) to get the required referral and make sure it is processed before your appointment.
Remember that referral fees and co-pays are your responsibility.
Families receiving Medicaid should monitor all changes in their coverage.
Check your coverage every 6 months to make sure your provider is still accepted by Texas Children’s Hospital.
Starting January 1, 2022, the No Surprises Act will protect patients from receiving surprise medical bills in certain instances. It will also ensure that patients are not involved in reimbursement negotiations between health care providers and insurers.
This link leads to the machine-readable files which are made available in response to the Federal Transparency in Coverage Rule and include negotiated service rates and out-of-network allowed amounts between health plans and health care providers.
The machine-readable files are formatted to allow researchers, regulators and application developers to access and analyze data more easily.