Frequently Asked Questions About Your TI-Rescue Bill
If this is your first time using our service, you may have questions about billing for TI-Rescue services.
Please read the below questions to see if they help you answer any questions. If your questions are not answered, please call our billing vendor MeD-Ex Billing Inc at 1-800-716-8015 for clarification or you can call the TIERS office at 315-686-4333 for assistance with your bill.
What is the address for sending checks or other information?
MedEx Billing, Inc.
8020 East Main Road
LeRoy, NY 14482
Why does it cost so much for an ambulance response?
Our highly-trained staff (career and volunteer), vehicles and equipment dedicated to answering emergency 9-1-1 calls our community 24 hours a day, 7 days a week is expensive. The high cost involved in staffing, training and equipping three ambulances is paid for through a combination of user fees that are billed to those who actually use the service, and an ambulance tax subsidy from the Town of Orleans and the Town of Clayton. We call this the “Cost of Readiness”
The fees for ambulance service are typically based on prevailing Medicare rates. Medicare has a base amount they’ll pay for services; rural agencies like TI-Rescue are allowed a small amount over urban ambulance services to allow for more fuel, vehicle costs and payroll hours. Every agency can add their typical “cost of readiness” onto the Medicare base amount to recoup as much of the agency’s expenses as possible. TI-Rescue’ rate and fee schedule is very reasonable and customary for our area. Thousand Islands Emergency Rescue Service Inc. maintains direct billing with nearly all-major insurance carriers, including Medicare. By Federal and NYS Department of Health Laws we have to accept assignment with New York State Medicaid and Medicare. TI-Rescue crews may ask the patient or a relative to sign a billing statement (Release Authorization), to authorize direct billing of insurance companies.
All communities have paramedics in our area, don’t they?
No. Of all the ambulance agencies in Jefferson County, TI-Rescue is one of the few that have 24/7/365 staffed Paramedic-level response, which means that a Paramedic and driver are ready to respond instantly to a call. This does not include Guilfoyle Ambulance, the commercial EMS service in Watertown.
Can TI-Rescue transport patients from one hospital to another hospital?
If our EMS crews transport a resident of our authorized ambulance district to an area regional hospital, TI-Rescue can transport that patient to another hospital if needed. Be aware that TI-Rescue’s supervisory staff has to first consider the immediate needs of our emergency response district and if adequate emergency and backup staffing is available before approving the transport. TI-Rescue will also request a Medical Necessity statement from the patient’s doctor. This document assures the transport is for the best interest of the patient.
I have HMO, Medicare, or Medicaid insurance, can you bill them directly?
We do submit claims to various insurance companies. There are many steps to this process, which if not handled immediately will result in a delay of receiving your payment. Once we have this information, your claim will be submitted manually or electronically.
I was in a car accident – how is that billed?
If you were transported as a result of a motor vehicle crash, your medical expenses are covered under the No-Fault portion of your vehicle’s insurance. TIERS will obtain the car insurance carrier information and New York Law requires that the claim be submitted to the insurance carrier within 45 days of the accident.
I was injured on the job and I received a bill, why is that?
Please ask your employer to contact our billing vendor immediately regarding this. We need to have your Workers’ Compensation carrier information.
I received a bill for a “Paramedic Intercept”. Will my insurance cover this?
TI-Rescue also provides “intercept” services to other volunteer services. Not all volunteer ambulance services have advanced life support (ALS), equipment and personnel available, and–depending on the type of call–EMS agencies are required by state and local protocols to have an ALS provider respond to certain type of calls and evaluate the patient to see if there is a need for ALS treatment.
If you received a bill from TI-Rescue for this service, we were requested by the transporting ambulance service or Jefferson County’s 911 center.
In many cases, insurance companies do not cover “Intercept” charges. If you have a question about an assist charge, your first phone call should be to your insurance company to see if they cover it. If they do cover it and you need assistance in submitting it, please contact our billing vendor’s office.
I received a check from my insurance company, what do I do?
If TI-Rescue transported you or a loved one to the hospital our billing company bill your insurance company directly. Many insurance companies send the reimbursement check directly to the patient. If you should receive a check, please sign the back side of the check and forward it to either TI-Rescue Inc. or our billing vendor, Med-Ex. If you keep the check, TI-Rescue will continue to bill you for the service provided and if you sign the check and keep it or deposit it we consider this a theft of services and will attempt to collect what is due for our service through our court systems or by collections.
I received a bill and I do not think I can afford to pay for it. What should I do?
If you don’t have insurance or you are in a serious financial situation, please contact TI-Rescue offices at (315) 686-4333. We understand people can have situations as this and we have a hardship policy in place and can work closely with you regarding your circumstance. We start with the Hardship Request Form that can be filled out and once we receive this we can offer several avenues of payment. Click on line below to print out the form.