Billing Assistance by Telephone is Available Monday-Friday (8AM-5PM):
We Accept: Medicare, Medicaid, Supplemental Insurance, Auto Insurance,
Private Insurance and Worker's Compensation Insurance.
Please Click Here To Securely Submit Your Insurance Information.
To Pay Your Bill for Ambulance Service On-Line or Set-Up A Payment Plan:
Click Here
(Encrypted For Your Security)
![]() |
Treatment: In the course of treatment our clients collect personal and health information to ensure the best care for their patients. This is shared with other health professionals such as physicians and hospitals to whom our clients transfer your care and treatment. |
![]() |
Payment: At times, it is necessary to use PHI to support claims submitted to insurance companies for payment. |
![]() |
Other: PHI may be used for internal quality assurance activities and training. |
We will share your PHI only with authorized employees, representatives, and third parties, such as insurance companies and other appropriate health care agencies. We will not disclose any non-public personal information about you except as authorized by law, as described in this privacy statement, or as otherwise communicated to you.
We are authorized to use PHI without your consent, authorization, or written permission in the following situations: emergencies, national defense and security, litigation, public health situations, and government oversight activities.
Disclosure of PHI for purposes other than those permitted by law will only be made with your written authorization. Also, you may revoke your authorization in writing at any time. If you choose to revoke your authorization, such action will not affect disclosures prior to the effective date of the withdrawal.
![]() |
The right to inspect your PHI. |
![]() |
The right to amend your PHI. |
![]() |
The right to request a list of all requests for disclosure of your PHI for purposes other than treatment, payment, and internal use as noted under Other." |
![]() |
The right to restrict disclosure of medical information to other health care providers and family. |
![]() |
The right to make a complaint with Ambulance Billing Office if you feel your PHI has been compromised. |
![]() |
The right to file a complaint with the Federal Department of Health and Human Services if you believe your rights have been violated. |
We respect and share your concern for privacy, we will not provide your PHI to anyone outside of our company or our billing contractor, except as described above.
If you have any questions regarding this notice, please contact us at (717) 246-3679.