What is medical necessity and is it important?
Many insurance carriers, including the Medicare and Medicaid programs, require that a patient’s medical condition warrant the use of an ambulance before they will allow payment. Furthermore, the policies regarding medical necessity are unique to each insurance company and can be quite complex. The City of Sherman, in its capacity as the 9-1-1 ambulance provider, is not responsible for situations where an insurance carrier determines that an ambulance transport does not meet their medical necessity requirements. In such cases, the patient will be billed for full charges.

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1. What happens when I am transported in a Sherman Fire Department ambulance?
2. Does the City of Sherman contract with my insurance company?
3. What is medical necessity and is it important?
4. What is the city’s collection policy?
5. What is the city’s patient privacy policy?