Any decent hospital has trained triage RN's who are skilled at tackling the work load. We don't ask for an insurance card when a serious case comes in. If you are ambulatory then, yes, you will check in with the unit secretary who starts you into the process and part of that is a scan of your card (if not already on file). But we must treat regardless.
Even in my physicians only practice we won't turn away a walk-in even though we are supposed to treat only known registered patients. I've never had a provider say no when asked to treat pro-bono.
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