This service doesn't bypass triage. It just puts your name and info on the triage list and allows you to wait from home instead of taking up space in the waiting room. The hospitals are (apparently) intensely involved in this process.
Bingo. Most patients fall into the general "low-acuity" category, which means that they are essentially seen in the order in which they arrive at the ER; this is the default case in our system. However, the ED caregivers do have the ability to change it.