Billing Information

1. What is the billing process at Exceptional ER?

Exceptional ER has a simple and flexible billing process that is quite similar to a conventional hospital-based ER. At the time of service, we collect any applicable copayments, deductibles, or coinsurance that is due at the time of service).

2. What if Exceptional ER is not in my insurance network?

Under the Affordable Care Act, health insurance plans are required to cover emergency services.

Texas law further requires insurance carriers to pay for a patient’s emergency care, whether the emergency room is “in-network” or “out of network.” The state of Texas empowers patients to use “a prudent layperson standard” in deciding what constitutes an emergency.

3. What if a patient is facing trouble with the insurance company?

State law mandates insurance carriers to reimburse patients for their ER visits. In case an insurance company  doesn’t agree to cover your emergency room visit, patients can exercise their right to file a grievance with the Texas Department of Insurance.

To learn more about the Texas Department of Insurance, please refer to their website:

4. Who will answer queries about your bill?

Most patients believe medical billing is a complex and time consuming process. At Exceptional ER, the billing process is easy and transparent. If patients have any questions regarding billing or insurance, please contact us. We will do our best to answer your questions.

5. What is a patient advocate and how can you contact them?

At Exceptional ER, we provide a patient advocate to our patients; the advocate provides guidance to patients and helps them understand the ER Bill and effectively serves as a liaison between the ER facility and the patient.

6. What insurances does Exceptional ER accept?

Exceptional ER will bill all major private insurance plans for patient care provided.

Unfortunately, we do not accept Medicaid or Medicare; But during this state of National emergency Exceptional Emergency Centers are now allowed to accept Medicare insurance for all eligible beneficiaries. (Not including Tyler)

If you do not have insurance, we can work with you to devise a cash fee schedule so that you can cover your visit. We assure you that there are no hidden fees or charges.

We can work on your behalf immediately after you discover an insurance processing error. Contact us to begin the appeals process.

Billed charges are comparable to hospital ER care. Services are billed at emergency center rates, not urgent care rates.

7. I received an Explanation of Benefits (EOB) after my visit to the ER. Is that my bill?

After a visit to the emergency room, patients receive an Explanation of Benefits (EOB). The EOB is NOT your bill; it is a statement from your insurance company that is sent to you and to Exceptional ER to explain the medical services that were covered and paid for.

8. What are my payment options if I cannot pay my balance in full?

If you are unable to pay your bill please call our billing office to discuss payment plans and other payment options.

  1. Our facilities are freestanding emergency medical care center;
  2. Our facilities charging rates comparable to a hospital emergency room and also charges a facility fee for medical treatment.
  3. Our facilities and physicians providing medical care at the facility may not be a participating provider in the patient’s health benefit plan or provider network.
  4. A physician providing medical care at our facilities may bill separately from the facility for the medical care provided to a patient.
  5. Our facilities are not a participating provider in any health benefit plan provider network at this time.

Click here for patient charges

For All Billing Inquiries:
Phone: 469-341-7800 ext 1018

Medical Records Requests:
Phone: 469-341-7800 ext 1017
Fax: 469-436-3330

Insurance Companies and Adjusters:
Phone: 469-341-7800 ext 1034
Fax: 469-341-7887

Billing Office Manager:
Phone: 469-341-7800 ext 1030
Fax: 469-436-7222

Billing Department Address:
3514 Cedar Springs RD.
Dallas TX 75219

Patient Request for Itemized Bill and Health Information Forms (Online).

Itemized Bill Request Form →

Protected Health Information Authorization Form →

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The Exceptional Emergency Room staff and physicians care about you and your loved ones. We are here 24/7 for all your emergency care needs.

  1. If you are experiencing fever, shortness of breath, chest pain, dizziness, weakness, numbness, sensory loss, or any other emergent medical problems, please call 911 or seek medical care immediately at your nearest Emergency Room.
  2. To provide the highest quality emergency medical care to our communities, we are directing all routine COVID testing to outpatient community resources.
  3. Testing through local resources, including your primary care doctor, urgent care, walk-in clinic, or local health department, is appropriate under the following circumstances:
    1. If you have been exposed to a person known to have COVID, and you do not have symptoms, we recommend that you self-quarantine at home and seek testing 4-5 days after exposure. It often takes this long for the infection to be detected by routine lab testing.
    2. If you have no symptoms or very mild symptoms, outpatient testing is also typically appropriate.
    3. Please follow this link for local COVID testing resources.
  4. If you have tested negative, you should still self-quarantine for 14 days from the day of suspected exposure as it can take anywhere from 2-14 days to come down with symptoms of this infection.
  5. Please kindly limit your phone time with our Emergency Rooms as the phone lines are needed to communicate with other health care entities and to provide patients their test results. Thank you for your understanding during this trying time.