Authorizations for Ambulance Transport
The cost of emergency and non-emergency ambulance transports can occasionally be frightening. For that reason, Alliance Ambulance accepts all forms of insurance. We are currently in network for or work with the following insurance companies:
Most insurance companies will pay for ambulance transport from a residence to the hospital when there is an emergency or if the patient is bed confined. They will also pay for transport by ambulance from hospital to hospital or other facility when there are services or tests that are not available at the originating hospital, and many times the insurance companies will request a transport to another hospital because the insurance company and the hospital have a service agreement. If you have any questions about your coverage and ambulance transport, contact your insurance provider or call the Alliance Ambulance billing department at 713-682-2273.
Most of the patients that we transport have Medicare and/or Medicaid. The Medicare guidelines for ambulance transport can be a bit confusing, so if you are interested in learning what Medicare will pay for, click here . Medicare does require a Physician's Certificate of Medical Necessity to be completed on patients that are transported. You can download a copy of the CMN here .
Medicaid seems to be a little more lenient than Medicare . They will pay for ambulance transport to a doctor's office if the patient is bed confined or unable to move around on their own. They will also, generally, pay for ambulance transport to the hospital, from hospital to another facility for tests or services not available at the originating hospital, and from the hospital back to a nursing facility or personal care home.
If you need transport by ambulance to a doctors office and the patient has Medicaid, prior authorization is required before the ambulance can be scheduled. The patient or their family needs to call Medicaid to get the authorization number. Alliance Ambulance cannot do this, only the patient or their family can. The number to call for authorization is:
Medicaid: 1-800-925-9126 - representatives are available from 8:00 am until 5:00 pm, Mon-Fri
The insurances below also require prior authorization before ambulance transport. If you or the patient has one of these insurances, they must be contacted before ambulance transport or they will not pay for the transport.
Aetna - (800) 353-1232
Amerigroup and Amerivantage - representatives are available 24 hours a day, 7 days a week
Community Health Choice - representatives are available 8:00 AM to 5:00 PM Monday-Friday.
Evercare - representatives are available 8:00 AM to 5:00 PM Monday-Friday
Also, authorization numbers need to be obtained from the following Medicare HMO patients.
Pacificare/Secure Horizons -
Select Care / Texan Plus -
Texas Healthspring - Monday-Friday 8:00 A.M.-8:00 P.M
(832) 553-3480 or (800) 280-8888