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Billing Information


Billing Information

When the Galena Area Emergency Medical Service District transports you, the Emergency Medical Technicians will complete a Patient Care Report which documents information concerning your condition, their medical assessment and the care they rendered to you.

Galena Area EMS must follow federal guidelines for the billing and coding of ambulance bills. Our billing agency, LifeStar Billing Service, uses the information documented on the Patient Care Report to determine the appropriate diagnosis and procedure codes that apply to your ambulance transport.

Galena Area EMS receives a copy of the insurance information you gave the hospital at the time of your admission. If you did not provide your insurance to the hospital you will be billed directly for the transport. Upon receipt of the bill, you can call LifeStar at 815.858.2057 and give them your insurance information.

If you have Medicare Part B coverage a claim will be filed with Medicare Part B on your behalf. Your account will be placed on hold until Medicare makes payment.  You will be billed for any unpaid patient balance. Medicare does not pay for mileage beyond the nearest hospital. You will be billed personally for those charges.

If you have Medicare Part B and Medicaid, a claim will be filed with Medicare Part B on your behalf. Your account will be placed on hold until Medicare makes payment, the balance will be billed to Medicaid.

If you have Medicare Part B and a supplemental insurance, a claim will be filed with Medicare Part B on your behalf.  Your account will be placed on hold until Medicare makes payment. A claim will then be filed on your behalf for the co-insurance amount.

If you have Medicare HMO or other insurance that is your primary coverage our Biller will file a claim on your behalf.  Your account will be placed on hold, allowing ample time for your insurance to process the claim. You will be billed for any unpaid patient balance.

If your transport is the result of a Motor Vehicle Collision, our biller will include a letter with your bill. You may turn the bill over to your auto insurance agent and return the letter to LifeStar with the appropriate section completed. If you would rather have us bill your insurance, you can complete the appropriate section of the letter and return it to LifeStar. We will file a claim on your behalf with your auto insurance carrier. Your account will be put on hold allowing ample time for your insurance carrier to process the claim. If you should receive a denial letter from you auto insurance carrier, must forward a copy of that letter to LifeStar. A copy of the letter and a claim will then be filled with your health insurance carrier.

If you have Medicaid coverage only, your transport must meet the criteria Medicaid has established for ambulance transports, in order for our office to file a claim on your behalf.

Unfortunately, not all claims filed for treatment and transport are paid by Medicare or Insurance Companies. They have their own criteria for payment of claims and not all transports may meet their criteria, which may result in denial of the claim. There are specific procedures for re-filing and appealing claims.  LifeStar is very knowledgeable and experienced in the procedures of re-filing and appealing claims and the may be able to assist you.  You may call their office at 815.858.2057 for more information.

For additional information on Medicare, contact Wisconsin Physician's Service at 800-633-4227 or visit
www.wpsmedicare.com.

For information regarding your billing:

LifeStar Billing Service
P. O. Box 483
Elizabeth, IL 61028
815-858-2057

 

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