ems billing

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No, if you only need the medical record you may submit your request to admin@wcesd3.net by fax at 830-542-6595 or by mail at 11984 US Hwy 87 W, La Vernia, TX 78121 if you need billing records you will need to submit your request to Specialized Billing & Collections Systems of Texas.

We do our very best to work with all our patients.  We do have a charity care policy in place to help those that are uninsured and underinsured.  We ask that you contact the billing office and explain your situation and ask for a discounted offering or charity care.  If you are still having difficulties after that please feel free to reach out to us at our admin offices and we will get it worked out.  We are here to serve the community and worrying about a medical bill or not wanting to call an ambulance because of a bill is not what we want.   

Yes, our 3rd party biller is located in Houston.  When you receive the bill, it will have our agency name and show our address as  PO Box 691916, Houston, TX 77269. 

This can be for a number of reasons.  Was the claim at the beginning of the year when deductibles and max out of pockets reset, if so this would be the main reason.  This also means your EMS claim ate up most or all of your out of pocket max (depending on your policy amount), therefore the remainder of the year you shouldn't pay any or much out of pocket for any medical going forward.    Another reason is most insurance companies only pay a portion of an approve procedure/treatment.  When we receive the denial we have to submit an appeal and this takes some time to process.  If you would like for us to look into it further, please contact our offices.

No, we DO NOT utilize a Collection Agency and we DO NOT report to any of the credit bureaus.

Wilson County Emergency Services District No. 3 rates are at the industry standard.  A lot goes into determining rates such as cost of medical supplies, equipment, ambulances and personnel.  With the inflation everyone is experiencing, the EMS industry is no different and not exempt.  

No, depending on your policy type, your deductible and out of pocket maximums we may not see any payment from the insurance company.  Take a commercial insurance policy, if you have a 70/30 plan for example, lets say the bill was for a $1000.  This does not mean insurance will pay $700 and you $300.   After the insurance company evaluates the claim, allows for "contractual allowances" then approve or deny certain treatments and procedures and then they determine that only $300 of this claim is approved, the insurance will then pay $210 and you would be responsible for the remaining $90.  When we talk about Medicare and Medicaid, there rules are much different and pay much less.  If you take Medicare for example, and the claim total is again $1000, after they review the claim and approve or deny certain treatments/procedures they have a max set amount they will pay per item.  So even if the amount for this one item was $100, they may only approve a max of $20 to be paid for that line item if approved.  So on average overall Medicare/Medicare will pay no more than 20% of an approved claim.