MY AMBULANCE BILL

OUR BILLING VENDOR
As of April 2015, our billing and payments for service are handled by Med-Bill, located in Indianapolis. Med-Bill has more than twenty years of experience in emergency medical services billing, and have a proven track record of integrity, confidentiality and customer service. If you have a question about your ambulance bill, would like to pay a balance due on your account or wish to discuss a charge you received in the mail, please contact Med-Bill toll-free at: 877.849.6628 or by email at [email protected]

Med-Bill’s financial representatives are courteous, helpful and will be able to answer questions about your bill, insurance coverage and assist setting up payment plans or payment solutions.

Many other questions can be answered by visiting the Med-Bill website.

HOW CAN I PAY MY BILL?
Through Med-Bill’s GovPay account, Putnam County Operation Life accepts credit, debit and health saving account (HSA) payments via GovPay.  You can pay part or all of your bill anytime, from anywhere using the secure, encrypted GovPay online payment portal.  You will need a copy of your bill to find the account number or run number.

If you are paying by check or money order, be sure to include your run number and/or account number, which can be found on your bill.  Please do not send cash.

 

Payments may be mailed to:

Putnam County Operation Life
Post Office Box 502250
Indianapolis, IN 46250-7250

 

WHAT IF I WANT TO PAY BY ELECTRONIC CHECK?
Med-Bill is able to accept your electronic check over the phone if you want to pay on your account “now” and do not have a debit card, credit card or health savings account card.  Contact them toll-free at 877.849.6628.  Make sure to have your bank routing number, checking account number and your run number and/or account number handy for faster service.

WHY AM I BEING CHARGED THIS AMOUNT FOR AMBULANCE SERVICE?
Putnam County Operation Life bases its charges upon comparable rates from other non-profit, for-profit and municipal/government emergency medical services agencies across Indiana.

WHAT IS THE PROCESS TO DETERMINE THE CHARGES ON MY BILL?
The Executive Director of Putnam County Operation Life prepares recommendations regarding billing rates for the Putnam County Operation Life Board of Directors to consider annually. The last rate adjustment took place in 2015. Prior to that, the last time a rate adjustment took place was in 2012.

The following descriptions are provided to assist you in understanding why you were billed a certain amount for your ambulance service.  You may see these as itemized line charges on your ambulance bill.

Basic Life Support / BLS (non-emergency) is a response to treat /transport a patient with BLS skills being the highest level of service provided. This includes procedures like checking vitals, oxygen administration, etc., maintaining an existing IV but with no IV initiated. These calls may include a minimal use of supplies.

Basic Life Support / BLS (emergency) is an emergency response for a patient who is treated /transported to a hospital with BLS skills being the highest level of service provided. This includes procedures like checking vitals, oxygen administration, splinting, bandaging, etc., maintaining an existing IV but with no IV initiated. These calls may include a minimal to moderate use of supplies. These are emergency calls and BLS will be the highest level of service provided.

Advanced Life Support 1 / ALS 1 (non-emergency) is a response for a patient who is treated /transported and requires a paramedic level ALS assessment or ALS skills such as IV initiation, cardiac monitoring, blood draws, BGL checks, or up to two (2) drugs administered. They will require a minimal to moderate use of supplies. These are mostly non-emergency “transport” calls between hospital facilities that require an ALS assessment and/or the use of ALS procedures that are above the scope of BLS care.

Advanced Life Support 1 / ALS 1 (emergency) is an emergency response for a patient who is treated / transported to a hospital and requires a paramedic level ALS assessment or ALS skills such as IV initiation, cardiac monitoring, blood draws, blood glucose checks, or up to two (2) drugs administered. They will require a minimal to moderate use of supplies. These are emergency calls that require an ALS assessment and/or use of ALS procedures that are above the scope of BLS care. These are primarily patients suffering from seizure, diabetic emergencies, breathing problems, high energy transportation accidents, etc.  This is the most common charge Putnam County Operation Life bills, as our agency runs approximately 70% ALS 1 Emergency requests.

Advanced Life Support / ALS 2 (emergency) is an emergency response for a patient who is treated / transported to a hospital and requires a paramedic level ALS assessment or ALS skills, plus three (3) or more separate drug administrations and/or the use of any one of the following skills:

Cardiac Defibrillation
Cardioversion
Cardiac Pacing
Endotracheal Intubation
Chest Decompression
Intraosseous Line Placement

Advanced Life Support / ALS 2 calls require a maximum use of supplies and are primarily patients in cardiac or respiratory arrest, shock, or multiple system trauma patients.

Specialty Care Transport / SCT is for a patient being transported from one hospital to another hospital which offers a higher level of care or specialty services not offered at the sending facility. SCT transfers require a medications, equipment and a specialized skill set above the typical advanced life support paramedic. They will require a minimal to moderate use of supplies. Putnam County Operation Life handles these SCT transports in defined critical emergency situations and specific protocols are provided via IU Health Methodist Hospital to our crews for these infrequent transfers.

Treatment/No Transport is for response to calls where “treatment” was performed but no transport to a medical facility took place and a signed refusal was obtained. Treatment is described as providing an advanced life support level assessment, intravenous fluid administration, or intravenous administration of dextrose.

Our billing vendor, Med-Bill, will classify each ambulance call into one of the six (6) billing categories listed above and bill accordingly. Classification will be based on the highest level of service provided regardless of the supplies used for each call.

Mileage is charged at $15.05 per mile when a patient is on board.  Please be aware, Medicare, Medicaid, HIP and commercial insurance carriers will only pay mileage from the scene of your emergency to the closest appropriate facility. The ‘closest appropriate facility’ is defined as a receiving hospital which offers the appropriate level of services to stabilize and treat your particular emergency. Putnam County Operation Life does not have a say in which facilities are considered the ‘closest appropriate’.  Only government claims payers and commercial insurance carriers decide what the closest and most appropriate facility is on every ambulance request.

DOES MY ABILITY TO PAY AFFECT MY ELIGIBILITY TO RECEIVE AMBULANCE SERVICE?
If you call 9-1-1 in the event of a medical emergency or traumatic injury to come to your home or scene of an emergency, no one will ever be denied ambulance service based on ability to pay or for the lack of health insurance. When Putnam County residents need emergency assistance, they should call 9-1-1 without hesitation. Our EMTs and Paramedics have been given the best possible equipment and training to ensure the safety and well being of all residents and visitors to the County.