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Billed for an Ambulance Despite Refusing Service

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  • 12-22-2017, 07:19 AM
    mparks21
    Re: Ambulance Refusal Bill
    Yes an incident report was completed the next day. The report was that I fell was not hurt other tHan a minor cut that was self treated. At this point I don't see how opening a WC case is possible or would help. I have read that most all insurance will not pay for non transport ambulance charges and it was now a month ago.
    I just called the billing company. I was told that because someone, anyone calls 911 on your behalf that you are responsible for the bill because they must respond, come out and access the situation.
    I explained that I did not call or ask anyone to call on my behalf and refused services when they arrived. Refused to go with them to the hospital. I did not feel I was responsible for services I didn't need or request. I was told if I refused to pay the bill would stay for the billing cycle then be looked at and possibly canceled or sent to a collection agency. So it seems I have no option but to continue to refuse to pay on principal
  • 12-22-2017, 09:01 AM
    budwad
    Re: Ambulance Refusal Bill
    You don't owe them anything because they did not provide any emergency medical services. They can file a claim with your health insurance and if they deny the claim, you don't have to pay yourself.

    http://www.legis.state.pa.us/cfdocs/...ssInd=0&act=84

    Quote:

    "Emergency medical services" or "EMS." Any of the following:

    (1) The medical care, including medical assessment, monitoring, treatment, transportation and observation, which may be provided to a person in responding to an actual or reported emergency to:

    (i) prevent or protect against loss of life or a deterioration in physiological or psychological condition; or

    (ii) address pain or morbidity associated with the person's condition.
    http://www.legis.state.pa.us/cfdocs/...&div=0&chpt=81
  • 12-22-2017, 10:34 AM
    Highwayman
    Re: Ambulance Refusal Bill
    "Emergency medical services" or "EMS." Any of the following:

    (1) The medical care, including medical assessment, monitoring, treatment, transportation and observation, which may be provided to a person in responding to an actual or reported emergency to:

    (i) prevent or protect against loss of life or a deterioration in physiological or psychological condition; or

    (ii) address pain or morbidity associated with the person's condition.

    (2) The transportation of an individual with medical assessment, monitoring, treatment or observation of the individual who, due to the individual's condition, requires medical assessment, monitoring, treatment or observation during the transport.


    EMS responded to a call for service.

    They assessed and monitored the patient.

    I'm not sure why you think that the patient received no services for which he can be billed.
  • 12-22-2017, 11:00 AM
    budwad
    Re: Ambulance Refusal Bill
    Quote:

    Quoting Highwayman;1055956They [I
    assessed[/I] and monitored the patient.

    I'm not sure why you think that the patient received no services for which he can be billed.

    They didn't address pain or morbidity and they did not prevent or protect against loss of life or a deterioration in physiological or psychological condition.

    So it's ok with you if I report an accident (you stubbed your toe) that is not an emergency and requires no emergency medical services according to the definition at your house and I request an ambulance without your consent that you have to pay for?
  • 12-22-2017, 11:28 AM
    Highwayman
    Re: Ambulance Refusal Bill
    Well I disagree, that's all. The OP sustained a physical injury, EMS responded, assessed his condition and monitored him. As far as my opinion goes that meets the criteria outlined in the statute.

    The OP needs to make sure that the proper workplace reporting is done to have a WC case opened so that WC can be billed and let them deal with it.
  • 12-22-2017, 11:29 AM
    Dogmatique
    Re: Ambulance Refusal Bill
    Quote:

    Quoting Highwayman
    View Post
    Well I disagree, that's all. The OP sustained a physical injury, EMS responded, assessed his condition and monitored him. As far as my opinion goes that meets the criteria outlined in the statute.

    You're right. An assessment had to be made before a conclusion about the person's health could be reached, ergo ...
  • 12-22-2017, 12:21 PM
    Highwayman
    Re: Ambulance Refusal Bill
    Quote:

    Quoting Rock Knocker
    View Post
    So, if EMS is called when it is not needed, and they ask "sir, are you alright", then it becomes billable? And EMS can't leave unless they make an assessment.

    We respond many times when EMS gets called for minor stuff. People RMA all the time and it's never them who calls the ambulance or 911. Billable? The real argument is between the insurance company and the biller.
  • 12-22-2017, 12:46 PM
    mparks21
    Re: Ambulance Refusal Bill
    I called my insurance company to submit this as a claim today I was told since they did Not provide medical treatment or transport it is not covered. I asked if I could used my health care spending account to pay it. I was told it was not an allowable expense for the same reason. The lady at my insurance company said they had never heard of an ambulance fee like this and that it sounded bogus to her.

    When I called the Ambulance billing company they even had it on file that I refused several times. But they still claim that I owe because they were called and couldn't leave until the supervisor they called and talked to with me on speaker phone said it was ok for them to leave and not take me to the hospital.

    I am going to take the bill to work and see if they can get worker comp to cover it after the holiday break. However if they won't pay it I think they are out of luck. I am just going to refuse to pay it because I didn't ask for or receive and medical care.
  • 12-22-2017, 12:52 PM
    cbg
    Re: Ambulance Refusal Bill
    It's your credit to ruin.
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