Contact our billing office with questions: (888) 767-4550

We’ll Bill Your Insurance Company!

If Medicare or another health insurance plan is fully or partially responsible for your ambulance bill, we’ll make sure they pay for their portion.

Simply provide the information requested here and we’ll take care of the rest!

Patient Data

Patient Name

Insurance Information


Medical Assistance

Commercial/Motor Vehicle/Workers Comp

Insurance Information
Insurance Company Name
Mailing address (if on card)
Phone Number (if on card)
Policy Holder Name
Policy Number
MM slash DD slash YYYY
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