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Frequently Asked Questions

If your question was not featured below, please contact your local location for more information.

What is an emergency room versus an urgent care?

An urgent care typically treats non-life threatening conditions, some of which include common colds, flu, strep throat, lacerations and more.

An emergency room treats conditions in need of immediate attention, some of which include chest pain, abdominal pain, dehydration, complex fractures and more.

Selecting the right facility can make a big difference in the financial outcome of your visit.
ERs in hospital settings use a triage system to evaluate patient situations and place the most severe cases first. People with less threatening conditions may find themselves waiting longer periods to be seen since it’s not a first-come, first-served process. ERs are not designed to treat routine illnesses, like colds and coughs, or provide follow-up care. They are in place to offer more comprehensive services, and are staffed with specialized physicians and nurses who are highly trained in dealing with emergencies. Since it may be difficult for patients to know the severity of their situation, the ER will determine that and triage care accordingly.

At our clinic, both emergency and urgent care are located under one roof. Services are available for prompt care of minor illnesses and injuries. This could include cuts, broken bones, allergic reactions, burns, flu symptoms, animal bites and more. If there is a serious, life-threatening condition, the attending provider in the ER will treat that injury or condition.

Will I ever unknowingly be considered an ER patient without consent?

Absolutely not. We require that an additional ER Acknowledgement be obtained to make sure there are no surprises.

When is Baptist Health Care’s Urgent Care open?

Our Urgent Care billing is available from 7 a.m. to 9 p.m. seven days a week.

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Does Baptist Emergency Room & Urgent Care take Medicare/Medicaid?

Our facilities are fully in-network with all Medicare/Medicaid insurance plans.

What is a New Patient designation?

All health care insurance, including Medicare, set a distinction for first visits in an office or urgent care setting. The new patient charge is typically reimbursed at slightly higher rates than all following visits to the same location, due to the additional work required to set up new accounts and obtaining all the necessary details to make this happen. Established patients are those that have been seen at the office or urgent care in the past three years The charge for an established patient visit is typically less than the new patient charge.
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How does Baptist Emergency Room & Urgent Care determine what to charge patients?

Insurance company negotiate rates with providers such as Baptist Emergency Room & Urgent Care, and agree upon rates in which they feel are reflective of the value provided to their members. Factors that determine what rates your insurance carrier agrees to include quality of providers, accessibility and patient experience.

What is the difference between my Explanation of Benefits (EOB) and my bill from Baptist Emergency Room & Urgent Care?

An Explanation of Benefits, EOB, is something the insurance company sends to its customers that explains what is allowed by their policies and what the associated charges are for what these allowances are. It is not a bill, but rather a communication from the insurance company to the patient. It may or may not correspond directly to what the final bill is from Baptist Emergency Room & Urgent Care. This may be confusing, but we encourage you to contact us directly if you have questions about either of these documents. We are glad to answers any of your concerns.

What is in-network versus out-of-network?

In-network means we have a contract with your insurance company and have agreed on the rates for services . Out-of-network means that we do not have a contract with your insurance company in setting the rates, but as a company policy we have agreed to only bill you what the in-network allowed rates are. In the emergency room, state law dictates that all patients have to be treated as if they are in-network, regardless of the in or out-of-network status deemed by your insurance company.

How do I get assistance in understanding my EOB (Explanation of Benefits) or bill?

If you have any questions or problems with your bill, we are happy to help you in making sure that it is correct. Sometimes this requires us to file appeals or have you call your insurance company, however we will walk you through such a process, assisting you every step of the way. If you have any questions about your bill, your Explanation of Benefits, or health coverage please contact us here.

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