Medical necessity is established when the patient's condition is such that use of any other method of transportation is not appropriate. In any case in which some means of transportation other than an ambulance could be used without endangering the individual's health, whether or not such other transportation is actually available, no payment may be made for ambulance services. This generally means the patient must have an acute injury or illness.
It is important to note that the presence (or absence) of a physician's order for a transport by ambulance does not necessarily prove (or disprove) whether the transport was medically necessary.
The patient has the right to appeal this determination by contacting their insurance carrier directly.
Amery Area EMS
Amery Area EMS 150 Snow Street Amery, WI 54001 US
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