Billing & Insurance

OU Health ER & Urgent Care is in-network with most major insurance plans, including all Medicare plans and Medicaid.

View a list of all in-network insurance plans at OU Health.

New Patient Designation

All health insurance plans, including Medicare, classify you as a new patient the first time you visit to a doctor’s office or an urgent care location. That’s because gathering all the important information needed to set up new accounts takes a significant amount of time and effort. To help with these costs, insurance plans provide reimbursement for a “new patient” at slightly higher rates than all following visits to the same location.

You’re considered an established patient if you’ve been seen at the same office or urgent care in the past three years, with charges for these visits reimbursed at lower rates than for new patients.

In-Network vs Out-of-Network

For urgent care services at OU Health ER & Urgent Care, in-network means we have a contract with your insurance company agreeing on the cost for any service provided to you. Out-of-network means we do not have a rate-setting contract with your insurance company, so you may be billed a different rate, as determined by your insurance carrier and your specific benefit (insurance) plan.

For emergency care at OU Health ER & Urgent Care, state law requires that all people must receive treatment, regardless of insurance plan or ability to pay. This means your insurance company should consider you in-network. OU Health ER & Urgent Care will bill for the amount defined by your insurance plan.

Setting Rates & Charges

On your behalf, your insurance company negotiates rates with healthcare providers, such as OU Health ER & Urgent Care, and agrees on rates they feel reflect the value of healthcare services to their plan members. Factors used by your insurance company to determine rates include quality of providers, accessibility and patient experience.

Informed Consent

To ensure you clearly understand everything involved in your care and billing throughout your visit to OU Health ER & Urgent Care, you’ll stay informed about whether you’re considered an emergency (ER) or urgent care patient. If your condition needs emergency care, you’ll be asked to provide your written, informed consent (signature) to avoid surprises and ensure you understand all tests and treatments.

Invoices & Explanation of Benefits (EOB) Statements

Your insurance company periodically sends you an Explanation of Benefits (EOB) statement to explain the coverages and related charges allowed by their policies. An EOB simply communicates information to you from your insurance company – it’s not a bill. An EOB may or may not directly match the final bill you receive from OU Health ER & Urgent Care.

To avoid confusion, you may want to wait until you receive an invoice from OU Health ER & Urgent Care. Then, if you have questions or concerns about differences between an EOB and your OU Health invoice, you can contact us for help in sorting out the details.

If we need to file an appeal on your behalf or if we need to have you call your insurance company, we will walk you through every step of the process and help you all along the way.

Call (405) 271-XXXX
or
Send email to XXXXXXXX@ouhealth.com

Learn more about choosing OU Health ER or urgent care.

No Appointment Needed
Walk in any time for OU Health emergency (ER) services 24/7 or urgent care every day from 7 a.m. to 9 p.m.