Wildfire danger is LOW

 
1

Ambulance Transport Services Billing

Financial responsibility for ambulance services rests with the patient or his/her guardian, regardless of medical insurance coverage. If you pay a bill and your insurance company subsequently pays your claim, we will promptly refund any amount due.

If you need to make special arrangements for payment, please e-mail our billing office, or call (970) 262-5100 ext. 134. Please feel free to leave a voicemail after business hours.

Compare medical costs on this website: https://www.fairhealthconsumer.org/medical.

The Summit Fire Emergency Medical Service will bill your insurance carrier for the emergency medical services we provide. However, your insurance plan may not cover all of your health care bills. Patients are responsible for any co-pays, deductibles and disallowed usual and customary (U&C) amounts not covered by your insurance carrier.

Many insurance companies limit their payment to a Usual, Customary and Reasonable (U&C) amount. Insurance companies set their own U&C payment levels based on a variety of historical charge information and other considerations, including their desire to hold down costs. If your insurance company does not pay the entire fee for services you have received, you will receive a bill for the balance due from Summit Fire Emergency Medical Service.

Please refer to your policy manual or inquire with your employer or agent about your policy limitations and benefits." could you add "Please contact your insurance if you feel they have not paid per the Emergency Services Benefits listed in your policy, you have the right to file a written appeal or to ask them to reconsider the non-covered portion of your claim that you are responsible for due to balance billing.

We accept assignment for Medicare and Colorado Medicaid, and your claims will be filed for you. You are responsible for any deductibles and co-pays. Please let us know if your coverage is a Medicare/Medicaid HMO or an out-of-state Medicaid plan.

Our service does not participate or have a contract with Anthem Blue Cross Blue Shield. We are happy to file medical claims for you. Out of state BCBS policies will be billed through Colorado, forwarded to your home plan, and paid directly to you. Once you have received payment from BCBS, it is your responsibility to forward payment to our office. If BCBS disallows a portion of your bill, the balance due is your responsibility.

As a publicly funded fire department Summit Fire & EMS is allowed by Colorado law to balance bill patients for any amount not covered by their insurance. We strongly recommend that the patient file an appeal with their insurance for any amount that shows on their Explanation of Benefits as a "discount," "not allowed," or "non-covered" amounts, as this is essentially a discount being taken for the insurance company that the patient will have to pay in full. These amounts are not applied to deductible or out of pocket totals on the insurance plan. If you see these terms on your EOB from insurance please call your insurance, tell them you are being balance billed and ask to have your claim processed per your Emergency Services Benefits as an out of network ambulance is the only option available to you.

The best way to contact our billing office with questions on your ambulance bill is via email: AmbulanceBill@SummitFire.org. You can leave a message at 970-262-5100 ext. 134, but emails are answered first. You can also review our letter regarding Payment for Unreimbursed Ambulance and Related Emergency Medical Services.

For eligible services, we will file a claim with your employer’s workers’ compensation carrier. Please be advised that if your employer or workers’ compensation carrier denies your claim, we will file a claim with your private insurance or bill you directly. Please supply us with your work comp claim number nad insurance contact information as soon as possible.

If you do not have health insurance, you may contact us to set up monthly payments. If you cannot pay the balance due to financial hardship, please contact the billing office at (970) 262-5100 ext. 134 to request a financial hardship application.

If you would like us to provide protected health information (PHI) to your attorney or an unaffiliated insurance company, click here to send a signed authorization to our office.

We take great care in protecting your privacy and the confidentiality of your health records. Please see our Notice of Privacy Practices for more information.