Frequently Asked Questions
The Texas Liver Institute (TLI) opened its doors in 2013. TLI is a world-renowned facility known for advanced care for patients with all forms of liver disorders, a clinical research division that is one of the busiest in the world, and a team of physicians that cumulatively have over 1000 peer-reviewed publications. TLI’s vision is to lead scientific advancements in understanding liver disease, developing treatments, and raising awareness through education.
We have 3 locations in San Antonio and 1 in Austin. Our main research facility is located at our Downtown location.
607 Camden St, Suite 101 San Antonio, Texas 78215
Fax : 210-227-6951
San Antonio-Medical Center
4751 Hamilton Wolfe Road, Suite 200 San Antonio, TX 78229
Fax : 210-227-6951
San Antonio-North(OPENING IN EARLY 2024)
Indian Woods Business Park 4318 De Zavala Rd., Building 4, Unit A San Antonio, TX 78230
Fax : 210-227-6951
7940 Shoal Creek Blvd, Suite 205 Austin, Texas 78757
Fax : 512-454-8375
You may need an authorization and or a referral, depending on your insurance provider and insurance plan. Referring providers are required to send the referral and records prior to scheduling an appointment to ensure determination of urgency. Self-referred patients are also required to provide all records pertaining to the current diagnosis requiring an appointment with TLI.
TLI physicians provide ongoing updates to Primary Care and/or Referring Providers documented in your medical records. Please inform the clinical team if you choose not to disclose your medical records to your Referring Provider or Primary Care Provider.
TLI physicians are associated with University Health Transplant Institute.
We routinely schedule new patients for the first available appointment depending on current diagnosis. Accommodations will be made for urgent or critical patients at the providers’ discretion.
No. Patient must be at least 18 years of age.
Up to 25 pages of medical records requested by a patient will be released to the patient at no charge. Any request for >25 pages will be charged $35.00. If records are to be sent to a new provider, it is recommended that you sign a Release of Medical Records from the other office and we will release the records to that office. Verbal request from patients will not be accepted.
While we encourage you to remain with your current TLI provider for continuity of care, transfer requests are considered on a case by case basis.
No, TLI does not handle Workman’s Compensation claims.
- BCBS HMO/PPO
- Care Improvement Plus – Medicare
- Cigna PPO
- Community First
- Coventry/First Health PPO
- GEHA/ First Health
- Humana HMO/PPO/Medicare
- Interplan Health Network
- Superior Health Plan (Medicare, Medicaid)
- United Health Care
- VA (with referral/auth from PCM)
- Wellcare of Texas – Medicare
This listing may not include all plans TLI accepts. Please contact TLI if your plan is not listed.
- BSW (HMO Premier)
- Marketplace/Obama Care
- Exchange plans
Your physician will order tests that he/she feels are medically necessary depending upon your symptoms or previous diagnosis. Should any of these services be considered not medically necessary, you will be asked to review our Advanced Beneficiary Notice explaining the services ordered, the cost of the services and the reason why Medicare may not consider these medically necessary. Should you choose to proceed with the services, you will sign the Notice accepting financial responsibility for those services.
Should a claim for services be denied, we will assist you in working with your health plan.
There are many variables to this question depending upon the services provided. You will be provided with the amounts for your co-insurance, co-pay, and deductible as well as an overall estimate prior to services being rendered.
Yes, traditional and replacement for Bexar County and Austin area only.
We perform liver biopsy, ultrasound and FibroScan at our clinics.
Most procedures are usually scheduled within 1-2 weeks from the date of your visit at which the procedure was ordered by the provider. The timeframe may vary depending on insurance, procedure type and availability.
Your procedure may be cancelled. In the case of liver biopsy, it is dangerous to receive sedation if you have had something to eat or drink before a procedure.
The medication that you are given to relax you and relieve any pain during the liver biopsy procedure may cause you to forget events and may impair your judgment and reflexes. If you attempt to drive, you will be considered “driving under the influence.”
No. This is dangerous since you will have received narcotics and sedatives during your procedure. You should not mix alcohol and these medications. Alcohol can also increase post procedure bleeding.
This will depend on directions from your physician but most patients resume their normal diet immediately. You may be asked to avoid spicy or greasy foods for the next several hours.
A liver biopsy procedure typically takes 5-10 minutes; however, you will be here 4-4.5 hours from arrival until discharge.
You are awake and able to hear and follow instructions. You will feel the initial numbing of skin and track to liver, but once numb you will not feel the sampling of the liver.
No, this is not allowed. Due to privacy of other patients, family members are not allowed in procedure room.
What to Expect FAQs
Yes, the physician will meet and discuss the procedure with you beforehand.
No, but you will be given oral medication to calm your nerves.
You may meet several clinical staff during your visit, including medical assistants and an ultrasound technologist. You will also meet the front office staff who will check you in and assist you with completion of all paperwork. Our clinical staff has additional training that is liver specific, as well as ACLS (advanced cardiac life support) and BLS (basic life support).
You will need to bring someone with you to the TLI. They are welcome to wait in our lobby during the duration of your visit or can be called when it is nearing time for you to be picked up. Additionally, you will not be allowed to drive or take a taxi/Uber/Lyft home without a responsible adult with you.
Procedure results will be reviewed with you at your next scheduled appointment. Results take 2-3 weeks. You should have a follow up appointment scheduled with your clinical team 2-3 weeks post biopsy.
Financial Policy FAQs
As a courtesy, TLI will file health insurance claims to your health plan. You will be financially responsible for satisfying deductibles, co-payments and co-insurances.
You must first see your primary care provider (PCP) for your condition. If your PCP feels it appropriate, his/her office will contact your health plan to order a referral. This referral must be on file with our office by the day of your visit. If not, you will be financially responsible for services provided during that particular visit.
It is the patient’s responsibility to remit payment at the time of service. We understand that from time to time circumstances can arise that create a hardship. Please speak with a manager BEFORE your clinic visit or procedure if you will be unable to pay your balance in full on the day of your appointment.
Our office will contact your health plan to obtain this information. Please be advised that this information can change daily and depends on if there are other health claims being processed on your behalf from other healthcare providers. We provide this information as an estimate only.
Once your insurance carrier has sent in payment for your visit or procedure, any balances owed will be billed to you. Payment is due upon receipt.
Not at this time.
Please contact our office at 210.253.3426. If the Billing department is unavailable, please leave a message with your name, account number and a phone number where you can be reached during our normal office hours.