Welcome to the Lima Allen County Paramedics billing information page. This page will provide you with the up to date billing information.
To our Patients:
Answers to your Patient Billing Questions
What are Lima Allen County Paramedics Billing and Payment Policy’s?
About a week after receiving care from LACP, a patient will receive a bill with the exception of Medicare, Medicaid and Workers Compensation patients. This bill will provide you with an itemization of the services provided and the fees charged. Payment of the account is required within 30 days of receipt of the bill.
Most insurance companies will cover medically necessary emergency and non-emergency ambulance transports. As a courtesy to our patients, LACP will submit a claim to your insurance. If a patient has coverage, it is important to provide all of the coverage information to our crew at the time of service or to our billing department as soon as possible after receiving services.
If a patient does not have insurance coverage of any kind, the bill for LACP services will be due directly from the patient. Payment is due immediately upon receipt of the bill. LACP will accept a patient’s personal check, MasterCard or Visa. A patient may also make payments by contacting LACP’s Billing Department at (419) 229-2700
Does my Insurance Cover Non-Emergency Services?
Lima Allen County Paramedics provides comprehensive non-emergency transportation service to patients who need to be safely transported from one location to another. Insurance plans may cover medically necessary non-emergency transports, but your insurance carrier will determine whether or not ambulance transportation is justified as medically necessary according to their specific criteria. It is important to check with your insurance provider to understand and comply with all requirements for authorization and qualification for non-emergency transportation.
What Does Medicare Cover?
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 and sure that the absence of immediate medical attention could reasonably be expected to result in placing the patient’s health in serious jeopardy, impairment of bodily function, or serious dysfunction to any bodily organ. Medicare requires that ambulance transportation be medically necessary and reasonable. Medicare requires that the use of any other method of transportation would be hazardous to the patient’s health, weather or not any other methods are available.
Non-Emergency Ambulance Transportation
Certain medically necessary non-emergency ambulance transports are covered by Medicare, but wheelchair and gurney services are not a covered benefit under the Medicare program. All non-emergency ambulance transports require a certification of medical necessity (CMN) signed by your physician. Medicare will not pay for ambulance transportation to a particular hospital or facility that is not the nearest appropriate facility, or for the convenience of the patient, the family or physician. In general, Medicare will not pay for non-emergency ambulance services unless the patient is unable to get out of bed, unable to walk, and 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 cover transportation to and from a Physicians office or a clinic.
What Does Medicaid Cover?
While Medicare is a Federal program for qualified citizens over the age of 65, and for certain qualified disabled citizens, Medicaid is a state program intended to assist medically indigent citizens. Medicaid provides emergency and non-emergency transportation that is medically necessary. If you have questions regarding ambulance transportation you should check with your Medicaid program.
Welcome to the Lima Allen County Paramedics billing information page. This page will provide you with the up to date billing information.
Lima Allen County Paramedics has a number of Network contracts
Cooperative Health Partners (CHP)
Ohio Ambulance Network (OAN)
Cornerstone Alliance (Ohio Medical Resources)
The following is a list of Insurance companies contracted with the above Networks.
Aetna / US Healthcare (All Plans) Ohio Comp Network (PPOs)
American Health Group Ohio Health Choice
Buckeye Preferred Network Ohio Health Network
Choice Care Ohio Preferred Network
Cigna PPO Next
Direct Care America (PPOs) PPOM
Emerald Health Network (PPOs) Primary Health Services (All plans)
Fortified Prudential
Health Span United Healthcare (All plans)
Medical Mutual of Ohio (All Products) United Medical Resources
Nation Preferred Provider Network (NPPN)
We are also self contracted with the following:
Procter & Gamble
Nationwide Health Plans
Allen Corrections
Oakwood Corrections
Lima Allen County Paramedics is working to provide the most affordable medical transports for our patients. We are adding new insurance companies almost monthly. If your patient requires transportation and we are not member of the patient's insurance plan, we will work with said insurance company to provide the most affordable service.
HOSPITALS:
Requirements for non-emergency transports:
What Does Medicare, Insurance and Medicaid Cover?
Certain medically necessary non-emergency ambulance transports are covered. All non-emergency ambulance transports require a CMN completed by the patient treating physician a Physician Assistant, Nurse Practitioner, Registered Nurse, or Clinical Nurse Specialist with knowledge of the beneficiary’s condition at the time of ambulance transport. This individual must be employed by the hospital or facility where the beneficiary is being treated and from which the beneficiary is transported. Most insurance companies will not pay for ambulance transportation to a particular hospital or facility that is not the nearest appropriate facility, or for the convenience of the patient, the family or physician. In general, most insurance companies will not pay for non-emergency ambulance service unless the patient is unable to get out of bed, unable to walk, and 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.
