Billing and Insurance
Thank you for choosing Topeka ER & Hospital for your emergency medical care. To better serve you, we want to make the billing process simple and transparent. We understand that some patients may find the billing process confusing or overwhelming. We want to help you understand your bill. Your bill may be different from other medical bills you may have received from hospitals or physicians. It’s important to note that Topeka ER & Hospital is a fully licensed hospital with ER services.
Click the links below to learn more:
The Affordable Care Act requires insurance companies to pay for their policyholders' emergency treatment regardless of the network status of the treating facility.
Therefore, we will accept the in-network payment of all private insurance plans. We also accept out-of-pocket payment in the form of cash, checks, or credit cards.
Your ER co-pay will be collected at the time of your visit. We will then bill your insurance company for the policy’s emergency room benefits.
There will be two different claims mailed to your insurance company: the facility bill and the physician bill.
If you have any questions concerning your bill, please contact our billing department, Tyvan Billing at 713-357-2535.
Our emergency room and hospital charges are typically the same as traditional emergency rooms and hospitals. We only charge the in-network rates for emergency services set by your insurance policy. Please be aware that most insurance plans have separate co-pay structures for visits to emergency rooms, and those fees may be higher than those for urgent care visits or visits to a doctor’s office. If you have questions about insurance co-pays, please contact your insurance carrier’s customer service department.
We accept payment from all private insurance plans, workers’ compensation, auto accident plans, etc. However, we do not currently participate in government-funded (traditional or replacement/supplemental) Medicare, Medicaid, Tricare, or Tricare For Life programs.
Topeka ER & Hospital is classified as out-of-network with many insurance companies; however, Topeka ER & Hospital does honor all in-network deductibles and benefits.
For all cases deemed emergent, Kansas state law requires your insurance company to pay for your emergency care, even if the emergency room is classified as out-of-network.
If your insurance provider is refusing to reimburse you for your emergency room visit, you can file a complaint with the Kansas Department of Insurance at insurance.kansas.gov/complaint.
If you have private health insurance, after we submit your claim for processing by your insurance company, they will send you an explanation of benefits (EOB). The most important thing to know about the EOB is that this is NOT a bill.
The EOB details what procedures and services you received, the amounts covered by your insurance company for the procedures, how much of those amounts they paid to the health care provider, and how much you may owe for the services, which is usually just your regular deductible, co-payment or co-insurance amounts.
If you receive a check from your insurance company, this is their payment to us for your treatment. While most carriers pay us directly, some insist on adding this extra step for their policyholders. Please know that we are working with your carrier to eliminate this burdensome step. Until then, if you do receive a check, we ask that you please drop it off with us along with your EOB, or mail it and a copy of your EOB to our billing department:
Tyvan Billing
PO Box 3070
Bellaire, TX 77402-3070
If you feel you are experiencing an emergency and seek treatment at any emergency department, including Topeka ER & Hospital, your insurance company is required by federal law to pay for your care at in-network rates, even if the facility you visit is out-of-network. If your insurance company refuses payment for your visit, our billing specialists will file an appeal with your insurance company on your behalf and will handle the entire appeals process for you.
For questions about your medical bills or insurance claims, simply call our billing partner, Tyvan Billing, at (713) 357-2535. Their friendly staff will gladly answer any questions you may have, clarify what you actually owe, and will work with you every step of the way to make the experience as easy and convenient as possible.
Workers’ compensation is a state-funded insurance program that gives covered employees income and medical benefits if they’re injured while working. Kansas employers may choose to provide their employees with this coverage. Most employers will inform you as to whether or not you’re covered under this state plan.
For more information on workers’ compensation, visit this page.