Billing and Schedule of Transfers
At Montgomery County EMS, we are happy to provide
ambulance transport for all your medical emergencies to our local hospital as
well as Emergency and Advanced Life Support or Specialty Care Non-Emergency
Transports from our local facility to a facility in another location.
Since some insurance companies require prior
authorization and other paperwork to be completed before a transport can occur,
this page provides general information about this matter in order to prepare
you in advance. This will save time for
everyone involved and get you safely on your way to your destination.
Our billing staff in the business office is available to
you Monday through Friday from 7:30 a.m. to 4:00 p.m. CST with the exception of
Federal holidays. Our billing staff is
ready to assist you with any concerns you may have connected to securing
non-emergency transport, insurance matters and/or information on your account
with the Montgomery County EMS.
Payments can be made in person or by mail any time from
7:30 a.m. to 4 p.m. CST. Our office accepts cash, personal checks and money
orders. Credit card payments are also
accepted by phone. In the near future,
we will have online payment access for your convenience.
We are happy to file
insurance on behalf of the patient and currently accept most forms of insurance
to include TennCare, Medicare, TriCare and commercial carriers. However, we do not file claims for
out-of-state Medicaid programs with the exception of Kentucky and insurance
companies based in other countries. We do file claims with automobile insurance
carriers; however, the patient is responsible for payment of the invoice if the
carrier has not paid the claim within 90 days of the filing date.
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Please contact our billing office at (931) 648-5737 if you have
any questions regarding the transport services, our knowledgeable staff will
cover any of your questions regarding the requirements that must be met. In the event, you have a request for our
services which is not covered by Medicare or any other insurance company, you
will be asked to complete a form known as the Advanced Beneficiary Notice Form. This form will provide you with the reason
the insurance company will not cover the transport and also the amount to be
charged. In this way, you will be in a
position to make an informed decision about the transport.
Download the Advanced Beneficiary Notice
patients must have prior authorization in place before scheduling your
transport. The patient, patient’s family or nursing home facility must obtain
this authorization from the TennCare managed care organization in which the
patient has coverage. We are unable to obtain authorization for the patient due
to TennCare guidelines.
HealthSpring Medicare and HMO patients must have prior
authorization before scheduling nonemergency transport. Please contact
HealthSpring at (888) 501-3965 or (800) 453-4464 to obtain authorization.
Accounts are held for 90 days from
the date of the patient’s transport. We keep the patient informed of the
account’s status by mailing out medical release forms, invoices, statements and
final notices. If an account has not
been paid or a payment agreement has not been reached at the end of the 90 day
period, the account will be held in a collection status and turned over to
Credit Bureau Systems, Inc. Please keep our office informed of any address
changes or if you have not received correspondence from us.
“Accounts may be forwarded to collection earlier
than 90 days if our correspondence has been returned by the United States
Download the Insurance and Medical
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Thank you for using
the services of Montgomery County EMS.