City of Upper Arlington, Ohio

EMS Transport Billing Program

The Fire Division, along with approximately 85 percent of communities nationwide, bills for Emergency Medical Service (EMS) transports. Private insurance and Medicare policies already contain provisions for treatment and transport by an emergency medical provider. The funds generated from EMS billing provide an effective long-term means to defray some of the costs involved with Fire Division operations.

If you or a family member is provided with emergency medical services that result in transportation to a local hospital, a bill for the transport will be sent to your insurance company, Medicare, or Medicaid. There is never a situation where service must be paid for on the day it is rendered, and UAFD personnel will never be involved in any part of a financial transaction.

Patient care will not be compromised by this program and you should never be afraid to call 9-1-1 for help when you need it. The fire departments in Franklin County will never refuse to render treatment or to transport to a medical facility due to inability to pay or lack of insurance.

EMS services should always be used in times of medical emergency, especially when a patient is alone and not in a condition to drive to a medical facility. Doing so brings with it a high risk of losing control of the vehicle and further injuring or even killing yourself, as well as endangering the lives of others on the road. Remember also that EMS providers don't have to deal with the delays of road traffic and parking, and can deliver patients to medical facilities more rapidly and safely.


Following an EMS transport, bills are sent to the insurance company of the patient. Patients only see a request for information in the mail if the record of insurance is not on file and cannot be obtained by the EMS crew (e.g. is the patient was unconscious). Patients may receive a "signature letter" to sign and return following a transport to a medical facility. This is not a bill, and to assist in processing the insurance payment, you are asked to sign and return the letter promptly.

UA residents should also be aware that, if UAFD medic units are occupied with other EMS calls, medical care would be provided via another fire department. In such situations, the insurance reimbursement regulations require that non-residents of the entity providing the service be billed for the co-pay required by their insurance company.