Billing FAQ's

How do I obtain a record of my treatment/medical records?


To comply with applicable laws, request for medical records must be made in writing. We maintain medical patient data in a secure manner, allowing release only to recognized entities with legal right to review the contents. If you are calling on behalf of a patient, please know that our staff is only allowed to discuss patient information with you upon receipt of a written or verbal authorization from the patient.

To request a copy of a medical record, you will need to complete a medical records release form and submit it to Spirit Medical Transport, LLC, 5484 Ohio Route 49 South, Greenville, Ohio 45331 via US Mail. Such requests are also accepted via fax or email by calling someone in our billing office. Completed request for medical records will be mailed or faxed to the requesting party. Medical records are retained for a minimum of seven years. There is an associated fee for processing medical records requests. The fee varies based on the amount of documentation being requested.

If you have a Power of Attorney for Healthcare, attach a copy to your completed and signed authorization.

If you are a parent of a child less than 18 years old, the parent must complete the authorization form. If the son or daughter is 18 years old or older, they must complete the authorization from.




How do I pay my bill?


You can use our Bill Pay service which allows you to make a secure online payment on your bill. Spirit also accepts personal checks, Visa, MasterCard, Discover, and American Express. Patients can make payments by mail to the remit payment address located on their invoice, by phone, or in person at our Greenville location which is situated at 5484 Ohio Route 49 South, Greenville. The billing team at Spirit can also gladly process your payment across the phone by calling the billing office directly at 937-547-2727.




Why does Spirit require a signature authorization before treatment & transport?


All patients are required to provide their signature to acknowledge consent for treatment and transportation. A signature on file provides Spirit with authorization to submit a bill on your behalf, assign benefits to Spirit allowing medical insurance carriers to pay Spirit directly, and is used as an acknowledgment showing you did receive a copy of Spirit’s Privacy Policy. Spirit cannot submit a claim to a medical insurance carrier without a signed authorization of some type. Failure to provide a signed authorization may require Spirit to seek payment directly from the patient or guarantor.




How do private ambulance services differ from public ambulance services?


Unlike some other public services that are supported solely by tax revenue, private ambulance services are primarily funded through user fees. Taxpayers fund public services such as fire and police protection whether they use these services or not. Private ambulance services are typically not subsidized by tax revenue and rely solely on user fees. Under a private ambulance service system, you only pay for those services when you use them.




Does my insurance cover non-emergency services?


Spirit provides comprehensive non-emergency transportation services to patients who need to be safely transported from one location to another. It is important to check with your insurance to see if the services you are requesting will be paid for. Many insurance companies require prior authorizations for non-emergency services to be covered. If this is the case, our Prior Authorization staff within our billing office can help you through this sometimes tedious process.




Does Medicare cover emergency ambulance transportations?


In general, Medicare will cover medically necessary ambulance transportation to the nearest appropriate medical facility capable of treating the patient’s condition at the time of transport. 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 such that the absence of immediate medical attention could reasonably be expected to result in placing the patient’s health in serious jeopardy, impairment to bodily functions, or serious dysfunction to any bodily organs or parts. Medicare requires that ambulance transportation be medically necessary and reasonable. To be deemed medically necessary, Medicare requires that the use of any other method of transportation would be hazardous to the patient’s health. It’s also important to point out that while each insurance company has different regulations, many tend to follow Medicare policy when it comes to covered ambulance services.




Does Medicare cover non-emergency ambulance transportations??


In general, Medicare will not pay for non-emergency ambulance service unless the patient has a medical condition that is acute enough ambulance transportation is the only means that wouldn’t endanger the patient’s health. Simply put, a patient who is unable to get out of bed without assistance; unable to ambulate, and unable to sit in a chair or wheel chair would likely meet medical necessity requirements as outlined by Medicare. They further state that transportation by any other means that could potentially pose a hazard to the patient’s health is also covered. It’s important to remember, Medicare and some other insurance carriers will not pay for ambulance transportation to a preferred hospital or facility that is not the nearest appropriate facility or for the convenience of the patient, family, or physician.

Medicare will pay 80 percent of their allowable rate for both emergency and non-emergency transportation service that meets medical necessity guidelines. The remaining 20 percent will be due from the patient or the patient’s secondary insurance carrier. As a courtesy, Spirit will submit a claim to the secondary insurance carrier on the patient’s behalf, but the patient is responsible for assuring timely payment by their secondary insurance carrier.




Does Medicare or other insurance cover transportation by wheelchair or ambulatory vehicle?


No, wheelchair and ambulatory medical transportation are not a covered benefit of Medicare. Patients who are able to walk and simply need medical transportation or those confined to a wheelchair and being transported for whatever reason normally must pay for this service out-of-pocket. Almost all Medicare supplemental insurance companies also don’t cover this means of transportation. In cases where patients have a specialized commercial insurance plan or are on Medicaid or some type of Medicaid-assistance program, wheelchair and ambulatory services can sometimes be covered. To ensure you have coverage for this level of service, always contact your respective carrier or contact our prior authorization department for answers to these questions.




Does Medicare or other insurance cover transportation by strecher to a doctor's office?


In most all cases, medical transportation to a doctor’s office is not a covered benefit under most insurance plans and in very rare cases (where a patient had to be stabilized at a doctor’s office before continuing onto a hospital) is the service ever covered by Medicare. Almost all Medicare supplemental insurance companies also don’t cover this means of transportation. In cases where patients have a specialized commercial insurance plan or are on Medicaid or some type of Medicaid-assistance program, transportation by ambulance stretcher can sometimes be covered. To ensure you have coverage for this level of service, always contact your respective insurance carrier or contact our prior authorization department for answers to these questions.




What does Medicade cover?


Medicaid is a program funded by the state that provides medical insurance to assist patients who quality under the program and most generally suffer from some form of financial hardship in one way or another. The coverage of medical services varies from Ohio to Indiana and patients should check with their Medicaid program to understand coverage criteria for medical transportation. In general, Medicaid programs require that all ambulance transportation meet the specific medical necessity criteria established for their state. Again, if you have questions that you can’t get from your assigned caseworker or through other means, feel free to contact our prior authorization department so they can seek out answers to these questions on your behalf.




What does insurance cover?


Ambulance and other medical transportation coverage varies from one insurance policy to the next. It is important to review your insurance policy to understand the limitations and requirement of your coverage. It may be necessary to obtain a prior authorization from your insurance carrier when scheduling some non-emergency transportation services. If your policy does not provide 100 percent coverage for transportation, you may be required to pay a deductible or co-payment outlined in your insurance policy. Payment of all deductibles and co-payments are due immediately upon receipt of the invoice.




What if no coverage exists?


If a patient does not have insurance coverage, the bill for Spirit’s Services will be due directly from the patient. Payment is due within twenty one (21) days of the invoice. If a patient knows in advance the service isn’t covered, a discount may be applied for up-front payment of the service. Spirit accepts personal checks, Visa, MasterCard, Discover, and American Express. Patients can make payments by mail to the address located on their invoice, by phone, or by dropping it off at Greenville location.





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