Billing Policies

 

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Welcome to Billing Policies

 

Upper Cleveland Rescue Squad’s commitment to provide excellent patient care extends beyond the clinical environment.  Upper Cleveland Rescue Squad has contracted Andres Medical Billing/Fire Recovery EMS to manage insurance and patient billing. Andres Medical Billing/Fire Recovery EMS will make every effort to work with you and your insurance provider to secure payment on your behalf.  Upper Cleveland Rescue Squad does not have contracted rates with commercial insurance companies, however we do accept Medicare and Medicaid.  If you have questions regarding the status of your bill, please feel free to contact Andres Medical Billing/Fire Recovery EMS representative directly at 888.640.7222.

Cleveland County, NC Transport Fee’s

Cleveland County Government sets the transport fees which Upper Cleveland Rescue Squad is required to use.

Basic Life Support (Non-Emergency) Transport: $450.00* plus mileage fee
Basic Life Support (Emergency) Transport: $540.89* plus mileage fee
Advanced Life Support (Non-Emergency) Transport: $450.00* plus mileage fee
Advanced Life Support (Emergency) Transport: $642.30* plus mileage fee
Advanced Life Support (Comprehensive) Transport $929.26* plus mileage fee
Specialty Care Transport $1,098.68* plus mileage fee

Basic Life Support Treat and Release: $175.00*
Advanced Life Support Treat and Release: $325.00*

Mileage Fee $11.43

*additional charges may apply

as of:  06/2019

Does Upper Cleveland Rescue Squad bill medical insurance?

Yes, Medicare, Medicaid and private insurance, however, it is based on medical necessity and the reason for the service.

What if the insurance information was not given at the time of service?

If the information is not collected during your initial contact with EMS personnel, you will receive a statement of charges from Apex EMS Billing Solutions. You may complete the backside of the statement where indicated (remember to sign the document). We need all pertinent information in order to file your claim correctly including the policy number, subscriber identification number, group number, insured name and complete mailing address for the insurance company.

Why did my insurance company mail the check to me?

Some insurance companies send checks directly to the policy holder. We will file claims as a courtesy for the patient. It is the responsibility of the patient to make sure the bill is paid in full.

Do you offer discounts?

Due to operating below costs we are unable to offer any discounts but we will help you make financial arrangements that will meet your needs.

Does Medicare pay for ambulance transportation?

Yes, when a patient condition is such that the use of any other method of transportation is medically inadvisable. Transportation must be deemed reasonable and medically necessary.

Does Medicare pay for this service in full?

No, Medicare will only pay 80% of the approved amount. The patient or their supplemental insurance will be responsible for the balance or co-insurance amount.

What if Medicare denies my claim? What options do I have?

Everyone has the option to appeal the claim within six months from the denial date. There are two ways to appeal: 1) Medical Necessity form completed by the doctor and /or (2) a letter in writing from the patient. These are to be submitted to Medicare’s Appeal Department.

Does Andres Medical Billing/Fire Recovery EMS file supplemental insurance?

Yes, when giving your Medicare information please let the representative know that you have a supplemental insurance policy as well. Also, provide us with your supplemental policy information such as policy number, group number and the mailing address.

What happens if there is an overpayment on my account?

We will promptly process the necessary paperwork for a refund.

What if I do not have insurance?

We will gladly work with you in setting up a payment schedule.