BILLING Q & A
Can I Pay My Invoice Online?
This feature is “Coming Soon.” Today, the best means to timely pay your bill is to pay via credit card by calling 617.745.2100 or pay via check or money order sent to Fallon Service, Inc., 111 Brook Rd, Quincy, MA 02169.
What Address Do I Send My Payment?
Fallon Service Inc.
ATTN: Billing Department
111 Brook Road
Quincy, MA 02169
What Forms Of Payment Do You Accept?
Fallon Service Inc. accepts payments made by a Visa, Mastercard, Discover or American Express. You can make your payment by calling 617.745.2100 ext. 502 or by mailing a check or money order to the address listed above.
Are You In Network Or Contracted With My Insurance Company?
You should contact your insurance company directly to see if Fallon Service Inc. is an in-network provider. However, Fallon Service Inc. is able to bill any insurance company regardless of a contract.
I Would Like To Request My Medical Records, How Do I Go About Doing This?
You may print and fill out the online request form or call our Billing Department at 617.745.2100. Medical record requests should be sent to:
Fallon Service Inc.
ATTN: Record Keeper
111 Brook Road
Quincy, MA 0216
Does Fallon Services Submit Invoices To My Insurance Company?
Yes. Fallon Services Inc. will submit invoices on your behalf if we have a signature on file from you or a family member to do so.
Motor Vehicle Accidents (MVAs)
I Was Involved In A Motor Vehicle Accident. Why Can’t You Just Bill My Health Insurance?
In the state of MA, if a person is involved in a motor vehicle or motorcycle accident, we first must bill the auto insurance carrier. If the Personal Injury Protection (PIP) is exhausted, we then can bill your health insurance.
If I wasn’t the driver of the vehicle, why can’t you just bill my health insurance?
The passenger must obtain the insurance information from the driver/registered owner of the vehicle in which they were a passenger. The passenger is responsible for filing the Personal Injury Protection (PIP) themselves with the insurance carrier.
Why Hasn’t The Auto Insurance Paid Any Of My Bills After I Filed I Claim?
Most likely, the Personal Injury Protection (PIP) form was not signed and returned. Check with your adjuster for status on claim.
If you have my auto insurance information, why do you need my health insurance information?
If the PIP (Personal Injury Protection) funding has been exhausted, the health insurance carrier will then be billed.
Why won’t my auto insurance or health insurance pay for my medical bills?
For any denied claims, check with your insurance carrier for the reason of denial. Most insurance carriers will send out an explanation of benefits to you.
Medicare
What Is Medicare?
What Is Medicare Part B Coverage?
Medicare Part B (Medical Insurance) covers ambulance services to or from a hospital, critical access hospital, or a skilled nursing facility, only when other transportation could endanger your health. In some cases, Medicare may cover ambulance services from your home or a medical facility to get care for a health condition that requires you to be transported only by ambulance. Medicare may also cover ambulance services to or from a dialysis facility for people with End-Stage Renal Disease (ESRD) who need dialysis, and other transportation could endanger their health.
What Does Medicare Pay?
If Medicare covers your ambulance trip, Medicare will pay 80% of the Medicare-approved amount, after you have met the yearly Part B deductible.
What Do I Pay?
If Medicare covers your ambulance trip, you pay 20% of the Medicare-approved amount, after you have met the yearly Part B deductible.
Is Non-Emergency Ambulance Transportation Covered?
Non-emergency ambulance transportation may be provided in some cases, when you need ambulance transportation to diagnose or treat your health condition and use of any other method of transportation could endanger your health. In some cases, Medicare covers limited non-emergency ambulance transportation, if you have a statement from your doctor or other health care provider stating that ambulance transportation is necessary due to your medical condition.
Does Medicare Cover Chair Car Transportation?
Chair Car transportation is a non-covered service under Medicare guidelines.
What Can I Do If Medicare Doesn’t Pay For An Ambulance Trip That I Think Should Be Covered?
If Medicare doesn’t cover your ambulance trip and you think it should have been covered, you have a right to appeal. An appeal is an action you take if you disagree with a decision Medicare makes.
To file an appeal:
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Review your Medicare Summary Notice (MSN). It will tell you why your bill wasn’t paid, how long you have to file an appeal, and what appeal steps you can take.
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If you need help filing an appeal, call your local State Health Insurance Assistance Program (SHIP). Call 1-800-MEDICARE (1.800.633.4227) to get the phone number. TTY users should call 1.877.486.2048. You can also visit medicare.gov.
