Patient Billing Records

Billing Information

We understand an emergency room is a stressful experience. All GSEP providers are exceptionally well trained, and we hope this was evident during your recent visit. A 3rd party company’s billing agents prepare the bill to send to the insurance company on your behalf. You can expect to see their company names on correspondences about your emergency room visit. We know that sorting through medical bills is another stressful time, so we’ve put together a list of commonly asked questions to help navigate you through the billing process.

Fees for the services of your physician, surgeon, radiologist, anesthesiologist, emergency department physicians and pathologists will not be included in your hospital bill. These specially trained physicians are independently contracted by the hospital to provide specialty services.You may receive separate statements from the entities below, which may or may not participate with your insurer or health maintenance organization.Contact the healthcare practitioners anticipated to provide services to you while in the hospital regarding a personalized estimate, billing practices, and participation with your insurance provider or HMO as the practitioners may not participate with the same health insurers or HMO as the hospital.

Emergency Physician Services

Emergency Medicine Services of TX
7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone: (866) 213-4815

For billing questions or billing record requests for an Emergency Department visit date after 4-1-2023 contact Parallon.

If the emergency room visit was on or after 4-1-2023, the billing company is Parallon

ePay Patient Portal (

Billing and Payment Questions

If you have a question about your bill/statement, please call (844) 608-4221 and a patient account representative will be happy to assist you.


Medical Records Questions

  • If you would like to request a copy of your medical records for HCA Healthcare hospital visits, click the Online Medical Record Request Portal link and follow the prompts for online medical record request submission. The link will take you to an online health information request portal on a new screen. If you have questions about the process to request your Medical Records, please contact (844) 481-0278.
  • If you are an attorney and need medical records for your client, please contact the hospital or practice where the patient was treated and ask to speak with their medical records department.


For billing questions or billing record requests for an Emergency Department visit date between 8-22-2017 and 4-1-2023 contact Floyd Ridge.

If the emergency room visit was on or after 8-22-2017 and before 4-1-2023, the billing company is Floyd Ridge.

Phone: Agents are available to assist you Monday-Friday, 8:30am-4:00pm via phone at 800-355-2470.


Online: Pay your bill online or view your billing account or chat with someone online about your bill or billing questions

For billing questions or billing record requests for an Emergency Department visit date prior to 8-22-2017 contact PracticeMax.

If the emergency room visit was before 8-22-2017, the billing company is PracticeMax, Inc.

P) 210-293-6030 or 210-614-0180
(F) 210-614-0710

They offer an online payment option as well:


We’re unable to provide you with an estimate prior to your visit because the billing process is mandated by the Center for Medicare and Medicaid Services. Your bill is figured through a coding procedure based on the level of treatment you received.

If you do not have insurance and unable to pay the full amount, please contact the billing company to arrange a payment plan.

Once the billing company receives payment from the first insurance company they will bill the remaining amount to the second insurance company.

GSEP’s physicians, nurse practitioners and physician assistants, are not employed by the hospital.

You will receive a separate bill for the treatment and services provided by GSEP providers. The hospital’s billing and the billing for GSEP’s services are separate items and will need to be paid to the correct billing agency. The insurance companies will determine the amount due from the patient, and is often shown as an adjustment on your patient statement.

The billing company relies on the information you provided the hospital to process the billing. The insurance company will send you a statement, which usually takes 3-4 weeks, but can take as long as 12 weeks. If your insurance or personal information has changed, please contact the billing company at the phone number listed above. If your insurance company does not pay within 45 days, the billing company may send you a notification of non-payment. Please contact your insurance company.