How does billing work?

The City of Surprise has contracted with an independent EMS transport billing company to manage fee recovery. The company, ImageTrend, is required to adhere to stringent rules concerning patient confidentiality, professionalism, and courtesy in the administration of the EMS transport billing program. All patients, residents and non-residents will also be billed for balances due accordingly.

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Q: What is EMS transport billing (fee for service), and why is the City of Surprise implementing this program?
Q: When did the City of Surprise begin billing for EMS transport?
Q: How is charging for EMS transport authorized?
Q: What are the charges for EMS transport?
Q: Doesn’t an EMS billing system amount to “double taxation?” As a property owner, I am already paying taxes that fund emergency medical services through the fire department.
Q: Why am I being billed for ambulance transport service? Isn’t the service free?
Q: How does billing work?
Q: How will insurance information be obtained?
Q: Will I have to pay for the service at the time it is provided / rendered?
Q: Will an EMS transport billing system result in higher health insurance premiums?
Q: How will my privacy be protected?
Q: I am a City resident and I do not have insurance of any kind. Will I receive a bill?
Q: If a resident has reached an insurance limit for EMS transport for the year, and additional services are required, will they get a bill for the services, or can the fee be waived?
Q: Will the billing company send uncollected transport fees to a collection agency?
Q: Will the EMS transport billing program disproportionally affect those most in need of the service – specifically the elderly, working poor, and chronically ill?
Q: Who will I call if I have a billing or insurance problem?
Q: As a citizen, if I call 911 for someone else, am I responsible for any bill resulting from an EMS transport, even if I am not the person transported?
Q: Will the ability to pay be considered when providing service? I fear that some people will delay in calling for EMS services based on their ability to pay for such services.
Q: Have other localities implemented a successful EMS transport billing (fee for service) program?
Q: If an out-of-City ambulance responds into the City and provides EMS transport, what billing policy applies?
Q: Will an EMS transport billing system result in a loss of volunteers in City of Surprise?