PULLMAN FIRE DEPARTMENT
AMBULANCE BILLING SERVICES
Pullman Fire Department has partnered with Systems Design West for Ambulance Billing Services. Systems Design provides customized ambulance billing, EMS billing, and accounting services exclusively for fire and rescue organizations throughout the western United States.
To request an insurance form or inquire about your ambulance transport claim submittal, contact the billing services office by calling or clicking on the link below.
Contact the billing office at:
EMS Billing Services
PO Box 3510, Silverdale, WA 98383-3510
800-238-9398 or 360-394-7010
Hours: 8:00 a.m. - 6:00 p.m. (Pacific Time)
Monday through Friday
Pullman Fire Department staff is also available to assist you. Please contact Brenda Davison at 509-338-3271. Our office hours are 8:00 a.m. - 4:00 p.m. Monday through Friday.
WHAT YOU SHOULD KNOW IF TRANSPORTED BY PULLMAN FIRE DEPARTMENT
-The Pullman Fire Department is not affiliated with Pullman Regional Hospital; therefore, you will receive an invoice from the Pullman Fire Department for your ambulance transport.
-Pullman Fire Department Ambulance Transport Fees are set by Pullman City Council according to the Pullman City Code under Chapter 5.36; Resolution R-12-18.
-Fees shall be based on the response location, the level of care provided, and mileage for the distance the patient is transported. Fees for supplies and equipment used are bundled into the total transport cost. Pullman Fire Department EMS staff provides Basic Life Service (BLS) and Advanced Life Service (ALS) transports. Fees range from $900 to $1400 plus mileage at $17 per mile.
-Pullman Fire Department is prohibited by law from negotiating prices.
-It is the responsibility of the patient to provide the Patient Services staff with their mailing address, current insurance information, and signature to authorize insurance claims and payment of benefits. Providing this information promptly and directly to Patient Services staff will expedite the processing of your insurance claim.
PULLMAN FIRE DEPARTMENT - AMBULANCE MEDICAL RECORDS
Patients who are treated and transported by Pullman Fire Department Emergency Medical Services personnel may request a copy of their ambulance transport record also known as a Pre-Hospital Patient Care Report and other related documents.
Pre-Hospital Patient Care Reports are medical records, and as such, are protected under Federal and Washington State laws. Pullman Fire Department personnel follow strict guidelines to ensure confidentiality of the patient’s protected health information (also known as PHI). As healthcare providers, we are allowed to use and disclose patient health information for specific purposes without your authorization or notification. For details about our legal duties and privacy practices, please refer to the complete Notice of Privacy Practices available on our website. If you prefer a paper copy, one will be mailed to you upon request.
To obtain records, the patient or parent/legal guardian of a minor-age patient must complete and submit the Patient Consent for Disclosure and Release Affidavit of Pre-Hospital Medical Records request form.
PULLMAN FIRE DEPARTMENT
INTRODUCTION TO NOTICE OF PRIVACY PRACTICES
If you have any questions, wish to file a complaint, or exercise any rights listed in the Notice of Privacy Practices, please contact:
Brenda Davison or Ryan Scharnhorst
Pullman Fire Department
620 S Grand Avenue
Pullman, WA 99163
Click on the green box below to open the document:
Notice of Privacy Practices.pdf
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