Sunday, June 5, 2016

Ambulance billing Descripiton, policy and benefits

Description of Procedure or Service

An ambulance is a specially equipped vehicle designed and supplied with materials and devices to provide life-saving and supportive treatments or interventions during the transportation of ill or injured patients. The patient’s clinical condition is such that the use of any other method of transportation would be contraindicated. The vehicle must be designed and equipped to respond to medical emergencies and, in non-emergency situations, be capable of transporting individuals with acute medical conditions. Ambulance and medical transport services may involve ground, air or sea transport in both emergency and non-emergency situations.


Policy

BCBSNC will provide coverage for Ambulance and Medical Transport Services when they are determined to be medically necessary because the medical criteria and guidelines shown below are met.


Benefits Application

This medical policy relates only to the services or supplies described herein. Please refer to the Member's Benefit Booklet for availability of benefits. Member's benefits may vary according to benefit design; therefore member benefit language should be reviewed before applying the terms of this medical policy.

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