A recent change to the Medicaid program could impact your healthcare coverage.

Welcome to Baylor Scott & White Health's patient registration and billing center

Thank you for choosing Baylor Scott & White to provide you with safe, quality, compassionate healthcare.

At Baylor Scott & White, our care is always guided by the partnership established with our patients and families. These standards of quality extend to our business services as well. We are available to help and advise you along the way and make the billing and payment process convenient and easy to understand.

After your service is scheduled with us, we encourage you to review your benefits and contact your insurance provider to understand your out-of-pocket expenses. After you are discharged, we will send a claim to your insurance carrier directly for services provided to you.

The information provided here will help you prepare for your visit with us and answer your billing and finance questions. We encourage you to read through these pages and learn more about expediting the check-in process at registration, estimating and managing the costs of your services, and understanding the billing process.

Pre-registration

The pre-registration process assists us in preparing for your visit, saving you valuable time during the day of your test or surgical procedure.

Please note if your physician requires pre-admission testing (PAT) or pre-operative testing or if you are not sure, you should speak with a pre-admission/pre-operative testing nurse at the facility where your procedure is scheduled to determine if an assessment is necessary.

The consumer guide to healthcare prices is excellent starting point for most of our patients, helping you understand the costs associated with your care.

Estimate your cost of care

At Baylor Scott & White, we recognize your desire for more meaningful and transparent price information, so you can make an informed choice. We are pleased to provide a price estimating service to our patients to help you better manage your care.

Billing and financial assistance options

You can pay your bill online, by phone, mail or in person at the Baylor Scott & White facility where you received your services.

We offer a variety of financial assistance options to our patients who are uninsured or underinsured.

Glossary of terms

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Billing and insurance words and phrases may be confusing to understand for those outside of the medical community.

Account number

A unique number that is assigned to you each time you visit the hospital.

Adjustment

A portion of your hospital bill that is adjusted in accordance to the contract between Baylor and your insurance company.

Amount not covered

The bill amount that the insurance company will not pay. It may include deductibles, coinsurances and charges for non-covered services. For example, a non-covered charge could be food trays for visitors, personal grooming supplies, take-home supplies and private rooms.

Amount payable by plan

The amount your insurance plan pays or covers for your treatment, less any deductibles, coinsurance or charges for non-covered services.

Benefit

The services that are covered under your insurance plan.

COBRA insurance

Health insurance coverage that you can purchase when you are no longer employed, or awaiting coverage from a new insurance plan to begin. Coverage may be purchased for up to 18 months from your date of separation. It is generally more expensive than insurance provided through the employer but less expensive than insurance purchased as an individual policy.

Coinsurance

The percentage of coverage not covered under your insurance benefits. For example, your policy may cover 80% of charges. Your coinsurance/patient portion would be the remaining 20%.

Co-payment/co-pay

A set fee established by the insurance company for a specific type of visit. This amount is due from the guarantor. This information can routinely be located on the insurance card and will be different amounts according to the type of visit. For example, Emergency Room visit—$50, inpatient stay—$100, physician office visit—$20.

Date of service (DOS)

The date(s) when you were provided healthcare services. For an inpatient stay, the dates of service will be the date of your admission through your discharge date. For outpatient services, the date of service will be the date of your visit.

Deductible

An amount that must be met on an annual basis that is established by the insurance company and your benefit plan. Call your insurance company for the most up-to-date information regarding your deductible.

Explanation of benefits (EOB)

This is a notice you receive from your insurance company after your claim for healthcare services has been processed. It explains the amounts billed, paid, denied, discounted, uncovered and the amount owed by the patient. The EOB may also communicate information needed by the insured in order to process the claim.

Guarantor

The person responsible for payment of the bill.

Health maintenance organization (HMO)

An insurance plan that has contracted with providers to provide healthcare services at a discounted rate. These services will require prior pre-certification, authorization and/or referrals.

Managed care

An insurance plan that has a contract agreement with hospitals, physicians and other healthcare providers.

Medicaid

A state administered, federal and state-funded insurance plan for low-income families who have limited or no insurance.

Medicare

A health insurance program for people age 65 and older, some people with disabilities under age 65 and people with end-stage renal disease (ESRD). For questions concerning the Medicare program, call the Social Security Administration toll-free at 1.800.772.1213, or call your local Social Security office.

Medicare Part A (hospital insurance)

Healthcare coverage for inpatient stays at participating hospitals.

Medicare Part B (medical insurance)

Healthcare coverage for doctors' services, outpatient hospital care and some other medical services that Part A does not cover, such as the services of physical and occupational therapists and some home healthcare.

Medigap

Medicare Supplemental Insurance available by private insurance companies that pays for some services not covered by Medicare A or B, including deductible and coinsurance amounts.

Non-covered services

Services not covered under the patient's insurance plan. These charges are the patient's responsibility to pay.

Out-of-network provider/Non-participating provider

The provider is not part of the insurance plan's network of contracted providers. Generally, services at out-of-network providers are paid for at a lower rate by the insurance plan and at a higher rate by you.

Out-of-pocket costs

The amount that you pay until your benefit coverage reaches 100%.

Point-of-service plans

An insurance plan that allows you to choose doctors and hospitals without first having to get a referral from your primary care physician.

Pre-authorization number

Authorization given by a health plan for a member to obtain services from a healthcare provider. This is commonly required for hospital services.

Pre-certification number

A number obtained from your insurance company by doctors and hospitals. This number will represent the agreement by the insurance plan that the service has been approved. This is not a guarantee of payment.

Preferred provider organizations (PPO)

An insurance plan that has a contract with providers to provide healthcare services at a discounted rate. These services may require prior pre-certification, authorization and/or referrals.

Referral

Approval or consent by a primary care doctor for a patient to see a certain specialist or receive certain services.

Subscriber

The person responsible for payment of premiums or whose employment is the basis for eligibility for a health plan membership.

Texas Health Care Information Collection

The Texas Department of State Health Services, Texas Healthcare Information Collection program (THCIC) receives patient claim data regarding services performed by Baylor Scott & White Health. The patients claim data is used to help improve the health of Texas, through various methods of research and analysis. Further information regarding patient data collection can be found at www.dshs.state.tx.us and Baylor Scott & White's patient notification of data collection, español.