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1. What is Emergency Medical Service (EMS) billing?

EMS billing is a service fee charged by the City of Monroe for ambulance transportation to a hospital facility.

2. Why does the City of Monroe charge for EMS services?

The costs to operate the fire department and emergency medical service have risen over the years and billing for EMS calls help off-set the expenses.

3. Who will be billed?

We will bill only the insurance carriers of Monroe residents who are insured or have Medicare coverage. In other words, if you live in Monroe and do not have health insurance, we will not bill you. We will bill all non-residents even if they are not insured.

4. Who receives the ambulance bill?

For those who live in Monroe, the ambulance bill goes directly to third-party payers. Third-party payers include Medicare, Medicaid, and private health insurers. No bill should ever be sent to persons living in Monroe even if third-party payers do not pay.

For those who do not live Monroe, the initial ambulance transport billing goes to a third-party payer, if available. If the bill is not paid by Medicare, Medicaid or a private health insurer, we will bill the individual.

You may receive an Explanation of Benefits (EOB) from your insurance carrier. This is not a bill. Your insurance carrier may not reimburse the city for the full fee, but if you live in Monroe, you are not responsible for this difference.

5. How do I get a copy of an EMS report or EMS billing record?

EMS reports are available in compliance with the HIPAA privacy laws to protect the medical information of all patients. Contact the fire department at 513-539-8380 to request a copy of an EMS report.

The city contracts with Change Healthcare to process all EMS billing. Please feel free to call them with any questions or concerns related to your ambulance bill at 1-855-626-9660