Ambulance and EMS Billing Services - AR Management and Solutions


Ambulance and EMS Billing Services for Cities, Counties and Private EMS Providers Nationwide

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877-650-0953
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Forms

Click links to download policies and forms. Adobe Acrobat Reader is required (free download).

FormsPhysician Certification Statement (PCS): Medicare requires a completed PCS for non-emergent ambulance transports.

 

FormsTMHP PAN Request Form: Texas Medicaid requires a PreAuthorization Number (PAN) for non-emergent ambulance transports.

 

FormsTMHP PAN Exception Form:

 

FormsTMHP FAX Cover Page: Texas Medicaid FAX cover page.

 

FormsCMS Medicare Ambulance Transports Handbook

 

We proudly serve cities, counties and EMS providers nationwide.

Ambulance and EMS Billing Services - AR Management and Solutions
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