Patient Services
Your Community’s Trusted Partner in EMS & Medical Transport Billing
Medicount Management, Inc. is proud to serve as the billing partner for your local municipality’s Emergency Medical Services. We manage claims for both ambulance and non-ambulance EMS medical services on behalf of you or a family member, submitting them to commercial and government insurance providers for timely and accurate processing.
If you have any questions, we’re here to help. You may securely provide your health insurance information by clicking the Registration/Insurance Information Form below.
- Online Forms Registration/Insurance Info Form (Just fill in and click Submit) HIPAA Authorization Form or download form to fax or mail Financial Hardship Application Form or download form to fax or mail Solicitud de Dificultades Financieras or descargar formulario Questions for our Billers?
- Links to State Funded Insurance for Low Income Patients
- Contact Us
Phone
888.410.6986
Medicount maintains physical, electronic and procedural safeguards to guard your non–public, personal information. Our operational and data processing systems are contained in a secure environment that is access–controlled. To secure sensitive communications between your computer and our web servers, we have implemented digital certificates and enabled strong, RSA1024-bit, encryption. We use secure sockets layer, SSL, security protocol to protect all exchanges of information via our web pages that are considered private or confidential.
Make a Payment
To make a payment, click the “Make Payment” button below. After clicking “Make Payment” you will be taken to our card processing page where your information will be collected.
Question for our billers?
