Insurance FAQ

Question Answer
How Do I Obtain A Record Of My Treatment/Medical Records? To comply with applicable laws, request for medical records must be made in writing. We maintain medical patient data in a secure manner, allowing release only to recognized entities with legal right to review the contents. If you are calling on behalf of a patient, please know that our staff is only allowed to discuss patient information with you upon receipt of a written or verbal authorization from the patient.
To request a copy of a medical record, you will need to complete a medical records release form and submit it to Ohio Medical Transport, PO Box 307, Tipp City, OH 453371-0307 via US Mail. Such requests are also accepted via fax or email by calling our billing office. Completed request for medical records will be mailed or faxed to the requesting party. Medical records are retained for a minimum of seven years. There is an associated fee for processing medical records requests. The fee varies based on the amount of documentation being requested.
If you have a Power of Attorney for Healthcare, attach a copy to your completed and signed authorization.
If you are a parent of a child less than 18 years old, the parent must complete the authorization form. If the son or daughter is 18 years old or older, they must complete the authorization from.
Why Does Ohio Medical Transport Require A Signature Authorization Before Treatment And Transport? All patients are required to provide their signatures to acknowledge consent for treatment and transportation. A signature on file provides Ohio Medical Transport with authorization to submit a bill on your behalf, assign benefits to Ohio Medical Transport allowing medical insurance carriers to pay Ohio Medical Transport directly, and is used as an acknowledgment showing you did receive a copy of Ohio Medical Transport’s Privacy Policy. Ohio Medical Transport cannot submit a claim to a medical insurance carrier without a signed authorization from the patient or guardian. Failure to provide a signed authorization may require Ohio Medical Transport to seek payment directly from the patient or guarantor.
Does My Insurance Cover Non-Emergency Services? Ohio Medical Transport provides comprehensive non-emergency transportation services to patients who need to be safely transported from one location to another. Insurance plans may consider coverage of medically necessary non-emergency transports. Your insurance carrier will determine whether or not ambulance transportation meets their coverage criteria. It is important to check with your insurance provider to determine the specific requirements for payment related to non-emergency transportation.
What Does Medicare Cover For An Emergency Ambulance Transportation? In general, Medicare will cover medically necessary ambulance transportation to the nearest appropriate medical facility. Emergency ambulance transportation may qualify for Medicare coverage if the transport is a result of a sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity such that the absence of immediate medical attention could reasonably be expected to result in placing the patient’s health in serious jeopardy, impairment to bodily function or serious dysfunction to any bodily organ or part. Medicare requires that ambulance transportation be medically necessary and reasonable. To be medically necessary, Medicare requires that the use of any other method of transportation would be hazardous to the patient’s health.
What Does Medicare Cover For An Non-Emergency Ambulance Transportation? In general, Medicare will not pay for non-emergency ambulance service unless the patient is unable to get out of bed without assistance and unable to walk, unable to sit in a chair or wheelchair, and/or that transportation by any other means would pose a hazard to the patient’s health. Medicare will not pay for ambulance transportation to a preferred hospital or facility that is not the nearest appropriate facility or for the convenience of the patient, the family or physician. Medicare does not pay for wheelchair transportation.
What Does Insurance Cover? Ambulance and other medical transportation coverage varies from one insurance policy to the next. It is important to review your insurance policy to understand the limitations and requirements of your coverage. It may be necessary to obtain a prior authorization from your insurance carrier when scheduling some non-emergency transportation services. If your policy does not provide 100 percent coverage for transportation, you may be required to pay a deductible or co-payment as outlined in your insurance policy. Payment of all deductibles and co-payments are due immediately upon receipt of the bill.
How Does Ohio Medical Transport Establish Rates? Ohio Medical Transport’s rates are competitive for your community and meet all applicable local, state and federal limitations. Ambulance provider fees typically include a base charge for the transport and a mileage fee.
What’s The Difference Between Basic & Advanced Life Support? Basic Life Support (BLS) ambulances provide transport to patients who do not require extra support or cardiac monitoring. A BLS ambulance is staffed by two emergency medical technicians (EMTs) who have training in basic emergency medical care such as basic airway management, use of an automated external defibrillator and basic drug administration.
Advanced Life Support (ALS) ambulances transport patients who need a higher level of care during transport above those services provided by a BLS ambulance. The unit is staffed by at least one paramedic who has more than 1,000 hours of education and training and are qualified to render advanced life support to patients such as advanced airway management, drug administration and cardiac monitoring.
What Does “Medically Necessary” Mean For Ambulance Transport? Medicare states ambulance transports are considered medically necessary when the patient’s medical condition is such that the use of any other method of transportation (e.g., taxi, private car, wheelchair coach) would be medically contraindicated (e.g., would endanger the patient’s medical condition).
What Does Medicaid Cover? Medicaid is a program funded by the state that provides medical insurance to assist patients who quality under the program and most generally suffer from some form of financial hardship in one way or another. In general, Medicaid programs require that all ambulance transportation meet the specific medical necessity criteria established for their state.