Ambulance Transport Billing / Medical Records

Ambulance transport billing is the process of obtaining financial reimbursement for the cost of providing medically necessary ambulance transportation. AHCCCS/Medicaid, Medicare, and most other health insurance plans allow for reimbursement for this service. The Authority bills the patient’s primary and/or secondary insurance carriers for any ambulance services provided. However, if you have not purchased an Ambulance Membership through the Authority, you will be responsible for the portion of the bill not covered by your insurance provider.  AHCCCS/Medicaid recipients do not have cost-sharing responsibility for ambulance service, therefore, AHCCCS/Medicaid beneficiaries are not eligible to participate in this program. Click here for information regarding the Authority's Ambulance Membership Program.

 

For billing questions or records related to medical incidents and ambulance transports that occurred prior to May 14, 2025, please contact:

• Mediclaim Data Services, Inc.
  Local: (602) 522-1522
  Toll Free: 1-800-953-9777
• Attorney Balance Request Dedicated Fax: (888)582-0085
• Attorney Records Order Dedicated Fax:  (866)306-5943
• Attorney Records Order by mail:  7000 N. 16th St. (PMB 110),Phoenix, AZ 85020

 

For billing questions or records related to medical incidents and ambulance transports by the Arizona Fire & Medical Authority (or its member districts the North County Fire & Medical District, the South County Fire & Medical District or the Buckeye Valley Fire District) that occurred on or after May 14, 2025, please submit all billing and medical-related incident requests online through:

Medical Record/Billing Instructions for Legal Entities