When Heartland EMS transports you, the paramedics will complete a Patient Care Report, also referred to as a “run report.” The paramedics will document the information concerning your condition, with the medical assessment and care rendered to you.
Heartland EMS must follow federal guidelines for the billing and coding of ambulance bills. Our billing staff will use the information documented on the run report to determine the appropriate diagnosis and procedure codes that apply to your ambulance transport.
If you have not been previously transported by Heartland EMS and complete Medicare or insurance information was not obtained at the time ambulance service was provided an invoice will be sent to you, along with a request for your insurance or Medicare information. Please complete the form and return it to our office.
If Heartland EMS has previously transported you, and we have current Medicare or insurance information in our billing system, one of the following will occur:
If you have Medicare Part B coverage our office will file a claim to Medicare Part B on your behalf. Your account will be placed on hold, allowing ample time for Medicare to process your claim.
If you have Medicare Part B and Medicaid coverage our office will file a claim to Medicare Part B on your behalf. Your account will be placed on hold, allowing ample time for Medicare to process your claim. If Medicare approves your claim for payment, the balance will be billed to Medicaid.
If you have Medicare Part B and supplemental insurance our office will file a claim to Medicare Part B on your behalf. Your account will be placed on hold, allowing ample time for Medicare to process your claim. If Medicare approves your claim for payment, and we have your supplemental insurance information, our office will file a claim on your behalf for the co-insurance amount.
If you have Medicare HMO or other insurance that is your primary coverage, our office will file a claim on your behalf. Your account will be placed on hold, allowing ample time for your insurance to process your claim.
If your transport was a result of a motor vehicle accident, our office will send a letter requesting your automobile insurance information. We request that you complete the form in its entirety. Once the completed information is returned to our office, we will file a claim to your insurance carrier. Your account will be placed on hold, allowing ample time for your insurance company to process your claim.
If you have Medicaid coverage only, your transport must meet the criteria Medicaid has established for ambulance transports, in order for your office to file a claim on your behalf.
If you are a member of our Heartland EMS Membership Program, our billing staff will bill the account appropriately. For your convenience, there is additional information regarding our membership plan in this website.
Unfortunately, not all claims filed by Heartland EMS are paid by Medicare or insurance companies. Medicare and insurance companies have their own specific criteria for payment of claims, and not all transports meet their criteria, which may result in a denied claim. There are specific procedures for refilling and appealing claims. Our customer service representatives at Heartland EMS are very knowledgeable and experienced in the procedures for refilling and appealing claims. They may be able to assist you in the refilling process. You may call our office at (563) 582-7661 for more information.
For your convenience, Heartland EMS accepts several forms of payment by mail, such as checks, money orders, Visa and MasterCard. If you prefer to pay in cash, please visit our office at 367 Cedar Cross Road, Dubuque. If you are unable to pay the account balance in full, monthly payment arrangements are available.
For additional informationon Medicare contact:
Iowa:
www.noridianmedicare.com
or call 1-800-633-4227
Illinois and Wisconsin:
www.wpsmedicare.com
or call 1-800-633-4227
For other billing questions, please call (563) 582-7661.
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