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Ambulance Billing

Union Ambulance District outsources billing services to EMS Billing Management, LLC.

For any questions regarding your bill, please contact them at 417-451-3300.


Union Ambulance District will bill the patient's insurance carrier.  If Union Ambulance District was unable to collect insurance information at the time of service or the billing company was unable to locate insurance, an invoice will be sent to the patient along with a request for insurance information.

It is the patient's responsibility to follow up and resolve any delay or denial in payment.  EMS Billing Management's customer service representatives are very knowledgeable and experienced in refiling claims and may be able to assist in this process.  When insurance payments are received, the credit is applied to the account and any remaining balance is the responsibility of the patient.  Patient responsibility will depend upon applicable rate, plan, unmet deductibles, co-pays, and other variables that affect patient responsibility.

Medical Necessity

Unfortunately, not all ambulance services are deemed medically necessary by Medicare, Medicaid, and other carriers.  Many insurance carriers require that the patient condition warrant the use of an ambulance in order to pay.  These medical necessity requirements vary by payer.  Union Ambulance District is not responsible for situations where the insurance carrier denies payment due to the transport not meeting medical necessity requirements.  In these cases, the patient is responsible.

Self Pay/Uninsured Patients

If you do not have healthcare insurance coverage, you may contact EMS Billing Management to discuss payment options and/or receive a Financial Hardship Application.

Notice of Intent to Place with Collections

Any bills that go unpaid will eventually be turned over to the collection agency.  The typical situation is that the patient will receive an initial invoice, a past due invoice, and a pre-collection letter.  There are several other situations where the number of invoices will vary.  For example, litigation, insurance rejections, and motor vehicle collisions.  If the patient has an agreed upon payment plan, invoices will stop.  The patient is responsible for setting a reminder to pay their monthly bill.  Skipped payments may result in collection agency referral.  Automatic monthly payments can be set up with debit or credit card.

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