SPECIALIZED SUPPORT FOR EMS PROVIDERS & BILLING COMPANIES
Know the coverage. Check the requirements.
Add eligibility, benefits, and authorization support to your existing billing workflow, with a defined scope and clear communication about issues that need attention.
Request a callNationwide inquiries welcome. Services reviewed for your state, payers, and needs.
Eligibility & Benefits
Identify problems before they reach the claim.
Coverage can change between transports. We check eligibility, plan benefits and limitations, coordination of benefits, and whether prior authorization is required for the planned transport. First-of-month re-verification can help identify carrier or coverage changes before claims are sent to the wrong payer.
- Eligibility and ambulance benefit verification
- Checks for prior authorization requirements
- First-of-month insurance and carrier re-verification
- Prior authorization submissions using company-provided documentation
- Status follow-up and coordination of payer requests for additional records
HOW TO BEGIN
Start with a conversation.
- Tell us about your organization.Share the service you need, your state, and your payer mix.
- Agree the work and the fees.We review fit, capacity, responsibilities, and a clear scope.
- Arrange secure access.Appropriate record exchange is established before work begins.
A FEW DETAILS
Before we get started.
Do you check whether authorization is required?
Yes. Authorization requirements can be checked as part of eligibility and benefits verification for the planned transport.
Do you create clinical documentation for an authorization?
No. Requests use documentation supplied by the ambulance company. We coordinate missing information and payer follow-up within the agreed scope.
LET’S DISCUSS YOUR NEXT STEP
Put ambulance billing experience to work.
Request a callback or an email reply from Autumn Reynosa. Please keep patient information out of your initial inquiry.