Wilson County Emergency Services District No. 3
EMS BILLING
Billing Records and Billing Questions
Effective September 1, 2026, Wilson County Emergency Services District No. 3 uses EMS|MC, a third-party billing company, to manage ambulance billing and payment processing on behalf of the District.
For billing records and questions please make contact with EMS|MC.
Frequently Asked Questions
If you cannot find the answer to your question, please contact us at admin@wcesd3.net.
No. If you only need a copy of your medical record, please submit your request directly to the District using one of the following methods:
- Email: admin@wcesd3.net
- Fax: 830-542-6595
- Mail: 11984 US Hwy 87 W, La Vernia, TX 78121
If you need billing records, please submit your request to EMS|MC through its billing request portal or patient portal. You may also visit or contact the District’s administrative office for assistance.
We understand that medical bills can create financial hardship, and we want to help. The District has a charity care policy to assist eligible uninsured and underinsured patients.
Please contact our billing contractor, EMS|MC, explain your situation, and ask about available discounts or charity care assistance. If you still need help, please contact the District’s administrative office so we can review your situation and available options.
We are here to serve our community. Please do not delay calling 911 during a medical emergency because you are worried about an ambulance bill.
Yes. Our third-party billing contractor, EMS|MC, uses a payment deposit hub in Sacramento, California. Your statement will identify Wilson County Emergency Services District No. 3 and PO Box 269110, Sacramento, California 95826-9110. This is the remittance address for payments. Please follow the payment instructions on your statement.
If you don't feel comfortable with this you may mail the payment to our offices at 11984 US HWY 87 W, La Vernia, TX 78121.
There may be several reasons. Your deductible may not have been met, your insurer may need additional information, or the claim may have been denied based on your plan’s coverage requirements. Whether the ambulance provider is in your plan’s network may also affect how the claim is processed.
A claim applied to your deductible is different from a denied claim. Your insurance company’s Explanation of Benefits (EOB) should explain how the claim was processed and why no payment was made.
If a claim is denied, our billing contractor may need to provide additional documentation, submit a corrected claim, or file an appeal. This process can take time.
If you have questions or would like help reviewing your bill, please contact our billing contractor, EMS|MC, or the District office.
No. The District does not use a collection agency and does not report unpaid ambulance bills to credit bureaus.
Ambulance service rates reflect the cost of maintaining emergency medical services 24 hours a day, seven days a week. These costs include trained personnel, medical supplies, specialized equipment, ambulances, vehicle maintenance, and facilities—even when crews are not responding to a call.
Like other organizations, Wilson County Emergency Services District No. 3 faces rising costs due to inflation. Ambulance billing helps support the personnel and resources needed to provide reliable emergency care to our community.
No. The amount billed is often different from the amount an insurance company approves and pays. Payment depends on your coverage, deductible, coinsurance, and the insurer’s allowed amount for the service. In some cases, the District may receive no insurance payment.
For example, assume an ambulance bill is $1,000 and your plan pays 70% of the allowed amount after your deductible has been met. If the insurer allows $300, the insurance payment would be $210—not $700. The remaining $90 represents the plan’s coinsurance amount. Any amount actually owed by the patient depends on applicable billing rules and District policy.
Medicare and Medicaid use their own payment schedules and coverage rules. Original Medicare generally pays 80% of its approved amount after the Part B deductible has been met. Medicaid payments follow the applicable program’s payment schedule. These payments may be substantially less than the original billed charges.
Yes, but the protections depend on your health plan and the type of ambulance service.
The federal No Surprises Act protects patients from certain out-of-network medical bills, including air ambulance bills. However, it does not currently include ground ambulance services.
Texas passed SB 2476 in 2023 to protect patients with qualifying health plans from balance billing for covered emergency ground ambulance services. In 2025, SB 916 extended these protections until September 1, 2027.
These protections apply to health plans regulated by the Texas Department of Insurance and certain other eligible plans. Most self-funded employer plans are not covered by the Texas protections unless they have opted into the state’s requirements.
Balance billing means charging a patient the difference between the provider’s billed charges and the amount allowed by the health plan, beyond the patient’s required cost-sharing. The law does not eliminate applicable deductibles, copayments, or coinsurance.
If you have questions about your ambulance bill or whether these protections apply to your plan, please contact our billing contractor, EMS|MC.
If you have a concern or complaint about your experience with EMS|MC, please contact the District’s administrative office at admin@wcesd3.net.
Please include your name, preferred contact information, and a brief description of the concern, including the date of any relevant communication with EMS|MC. Please avoid sending sensitive medical or financial information by email.
The District will review your concern and follow up with you and EMS|MC as needed.
EMS BILLING
For Billing Records Requests or Billing Questions prior to September 1, 2026 please contact Speciali
Specialized Billing & Collection Systems of Texas
Contact Information:
Phone: (281) 397-0397
Fax: (281) 397-0007
Office: 14340 Torrey Chase Blvd., Suite 280, Houston, Tx. 77014
Mailing: PO Box 691916, Houston, TX 77269
Karen Laake (CEO; EMS Billing)
Office: (281) 397-0397 x 2221
This website uses cookies.
We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.