Updates

Patients and Families Insurance and Billing

Upon being admitted or receiving services, the patient or patient's legal representative may receive bills from the Hospital, the patient's physicians and affiliated physician groups that may provide facility-based services to the patient as noted below:


Texas Children’s Hospital

PO Box 4494

Houston, TX 77210-4769

832-824-1000 Main

832-824-2300 Customer Service

 

Texas Children’s Physician Group

DBA  Texas Children’s Physician Services Organization

PO Box 4769

Houston, TX 77210-4769

832-824-1000 Main

832-824-2300 Customer Service

 

Anesthesia Services at the Pavilion for Women

Greater Houston Anesthesiology

PO Box 540008

Houston, Texas 77254

713-620-4040

 

Pediatric Anesthesia Services

Texas Children’s Physician Services Organization

PO Box 4984

Houston, TX  77210

800-332-8548

 

Pediatric Pathology Consultants

PO Box 1907

Greenville, TX 75403-1907

877-788-7814

 

Baylor College of Medicine

PO Box 4758

Houston, TX  77210-4758

713-798-1900


Tips that will help reduce insurance and billing difficulties

  • Review your family’s health insurance policy and become familiar with the co-pays, services, tests and treatments covered, as well as the steps required to get referrals.
  • If your insurance company requires a referral for testing or future visits, you must contact your primary care physician (PCP) to get the required referral and make sure it is processed before your appointment.
  • Remember that referral fees and co-pays are your responsibility.
  • Families receiving Medicaid should monitor all changes in their coverage.
  • Check your coverage every 6 months to make sure your provider is still accepted by Texas Children’s Hospital.
  • Here is a list of insurance plans accepted by Texas Children’s Hospital.

No Surprises Act

Starting January 1, 2022, the No Surprises Act will protect patients from receiving surprise medical bills in certain instances. It will also ensure that patients are not involved in reimbursement negotiations between health care providers and insurers.


Transparency in coverage

This link leads to the machine-readable files which are made available in response to the Federal Transparency in Coverage Rule and include negotiated service rates and out-of-network allowed amounts between health plans and health care providers.

The machine-readable files are formatted to allow researchers, regulators and application developers to access and analyze data more easily.


Call Texas Children's billing office at 832-824-2300 if you have questions about your insurance or bill.