With all the different medical care options out there, questions will certainly arise, and the insurance companies don’t always make understanding your benefits an easy task. We have compiled a list of frequently asked questions and answers to help clarify some of the most important patient issues we encounter.
With so many medical care options available, it’s natural to have questions, especially when insurance benefits can be difficult to understand. To help, we’ve compiled a list of frequently asked questions addressing some of the most common concerns our patients face. For any specific billing inquiries, please don’t hesitate to contact our billing department at 210-626-8825. We’re here to assist you in any way we can.
Our facilities operate under a hybrid model, providing both Emergency Room services 24/7/365 and Urgent Care services Monday through Saturday (9 AM–9 PM) and Sunday (9 AM–6 PM) for your convenience. With our effective hybrid approach, you never have to worry about choosing the right level of care—we ensure you receive the treatment you need at the appropriate cost.
The biggest difference you will experience at our facilities compared to a traditional hospital-based emergency department is the exceptional level of convenience, compassion, and personalized service each patient receives. At Full Spectrum Emergency Room, there’s no more waiting in a crowded lobby—you’ll be taken back to your room and seen by our physicians within minutes of your arrival.
We’ve established strong partnerships with local primary care physicians and specialists to help ensure seamless continuity of care after your visit and discharge from our facility.
Emergency Room: Our Emergency Rooms are fully equipped with life-saving equipment, including an on site laboratory and advanced imaging services such as CT, X-ray, and ultrasound. We’re prepared to handle and treat conditions that require immediate, critical care.
Urgent Care: Our Urgent Care centers are equipped with on-site laboratory services and digital X-rays, allowing us to efficiently treat minor injuries and common illnesses. We also offer school physicals, routine physical exams, employment screenings, vaccinations, diagnostic testing, and a range of preventive health services.
We are on a walk-in basis only, appointments are not required at either of our locations for Urgent Care or Emergency Room Services
Please bring a valid form of identification, such as a driver’s license, state ID, or military ID, along with your insurance card (if applicable). It’s also helpful to bring a list of any medications you are currently taking to assist our medical team in providing the best care possible.
With your permission, we’re happy to communicate with your primary care physician or specialist to share any necessary information and help ensure a smooth continuation of your care. Just let us know during your visit or feel free to call us afterward with follow-up details.
If your symptoms require our Urgent Care, you’ll be treated by one of our highly trained Physician Assistants or Nurse Practitioners, who are experienced in providing prompt, compassionate care.
Our Urgent Care typically serves patients ages 6 months and older. For infants under 6 months presenting with a high fever, treatment will be provided in our Emergency Room to ensure the highest level of care.
Full Spectrum Urgent Care is in-network with the following Health Insurance Plans: Blue Cross Blue Shield, Aetna, Cigna, Meritain, Tricare West, Boone Chapman, Curative, Medicare, TriWest Healthcare Alliance/VA, ChampVA, and most commercial insurance providers.
If your insurance provider is not listed above, please contact your insurance company directly using the phone number listed on the back of your insurance card to find out more information. If your insurance company is not in-network, we have transparent self-pay options.
If You Have Insurance Coverage: Our front desk staff will explain your Urgent Care benefits at the time of service and collect your co pay. Then, a member of our Urgent Care team will call you back to be seen by one of our providers. After your insurance claim is processed (which may take a few weeks), if any portion of the in network claim applies to your deductible or co-insurance, a bill will be sent to you.
If You Are Uninsured: No worries — we offer transparent self-pay rates to keep your care affordable and straightforward.
If we are in-network with your insurance provider and they are refusing coverage, please contact our billing department at 210 626-8825, Monday through Friday, 8 AM to 5 PM. We’re here to help resolve any issues.
If you have any specific questions regarding your visit, please contact our billing specialists at 210-626-8825, M-F (8AM-5PM). Or simply email us at: billing@spechealth.com
If your condition requires Emergency Room services, you’ll be treated by a Board Certified Emergency Medicine Physician with specialized training in trauma and acute care. Many of our physicians are veterans with decades of experience, dedicated to delivering the highest quality care when you need it most.
Absolutely! Full Spectrum Emergency Room is fully equipped and staffed to treat emergency patients of all ages, including infants and young children. Our Board Certified Emergency Medicine Physicians have specialized training in pediatric trauma and are experienced in managing urgent conditions in children of all ages.
With a compassionate, caring team and specialized pediatric equipment, you can feel confident that your little ones are in excellent hands. If sub specialty care is needed, we’ll coordinate a direct hospital admission to the appropriate facility of your choice without the added wait of a traditional hospital emergency department.
Observation suites are available exclusively in our Emergency Room. These suites allow us to monitor patients for up to 23 hours when hospital admission is not immediately necessary. This extended care option helps us closely observe ongoing conditions, provide continued treatment, and ensure you’re on the path to recovery before being safely discharged.
If your condition requires a higher level of care, we will handle all aspects of the hospital transfer for you. You’ll be admitted directly to the appropriate hospital unit, bypassing the Emergency Department entirely. To ensure seamless continuity of care, we coordinate the transfer using a dedicated ambulance service.
At Full Spectrum Emergency Room, we streamline every step of your visit—from intake to treatment to discharge—to ensure a smooth, efficient experience. Our compassionate and professional staff is committed to delivering high quality, unrushed care.
In most cases, a provider will see you within minutes of your arrival. Our goal is for you to be diagnosed, treated, and on your way home before most hospital emergency departments even begin treatment.
Full Spectrum Emergency Room is in-network with the following Health Plans: Blue Cross Blue Shield (Traditional Indemnity Business, PPO/POS Network, Blue Essentials, Health Select Network, Blue Advantage HMO Network), Caprock Health Plans, MultiPlan, and Curative. If you do not see your insurance listed above, please read the section below, or if you have any additional inquiries, please contact our billing department at 210 626-8825.
In accordance with the Texas Department of Insurance Code, Section 1301.155 on Emergency Care, all emergency care MUST be processed as In-Network by your insurance company, even if the Emergency Room is out of-network. This law was created to prevent the loss of precious time in an emergent situation, so patients do not have to search for an “in network” provider when facing loss of life, limb, or sight. By law, your treatment for an emergent condition under the “prudent layperson” standard must be reimbursed by your insurance company at the policies in network benefit level. Furthermore, Freestanding Emergency Rooms are not recognized by any form of Medicare or Medicaid, therefore we are unable to submit claims.
If you have insurance coverage: You will be given at no cost to you, a Medical Screening Exam (MSE) by one of our Emergency Room Physicians who will explain what services he/she feels you require. After that, one of our Patient Care Coordinators will explain your insurance benefits. If at that time you choose not to have the recommended services, you will be discharged at no cost to you. If you decide to stay, your insurance claim may take several weeks to process. If your policy has a deductible that has not been met or your co-insurance does not cover certain procedures you may be responsible for up to the “max out of pocket” rate at the time of service minus any co pay you may have already paid.
If you are uninsured: Don’t worry, we have “TRANSPARENT” self-pay rates for Emergency Room visits and flexible payment arrangements.
Once your claim is processed, an Explanation of Benefits (EOB) will be generated for you from your insurance company. It is imperative to understand that any amount shown on an EOB is NOT A BILL. An EOB is a statement from your insurance company showing how your claim was processed, including what they have paid and what they believe may be your responsibility based on your specific plan—such as deductible or co-insurance amounts.
An EOB will typically have verbiage similar to “You may owe your Provider the following amount.” Please disregard, as this is not a finalized bill. Full Spectrum is committed to assisting with a reasonable financial settlement of amounts owed.
If you have any questions after reviewing your EOB, our in-house billing specialists are here to help. We can verify the status of your claim, ensure it was processed correctly, and assist with any necessary appeals if your insurance initially denies coverage for eligible procedures or services. Please don’t hesitate to contact us at 210-626-8825.
If your claim is denied or processed as out-of-network, we will appeal the claim on your behalf. Should additional information or assistance be needed for the appeals process, we may contact you, so please respond promptly.
You will receive 2 separate bills from us, one for professional services and one for Facility Charges. We are required by law to separate the professional charges from the facility charges and apologize for any inconvenience.
For any specific questions regarding your visit, please contact our billing specialists at 210-626-8825 (Monday–Friday, 8 AM–5 PM), or email us at billing@spechealth.com. We’re here to help and happy to assist you.