What can I do if Medicare doesn't pay for a Medicare air ambulance trip I think should be covered?
You or someone you trust should carefully review your MSN and any other paperwork about your ambulance bill. You may find paperwork problems that can be fixed. You can also call your Medicare Administrative Contractor (MAC), the company that pays Medicare Part B bills, to get a more detailed explanation of why Medicare denied payment.
While reviewing your MSN and other paperwork, you may find that Medicare denied your claim because: 1) The ambulance company didn't fully document why you needed ambulance transportation. If this happens, contact the doctor who treated you or the discharge social worker at the hospital to get more information about your need for transportation. You can send this information to the MAC. 2) The ambulance company didn't file the proper paperwork. If this happens, you can ask the ambulance company to refile your claim form.
Don't pay the bill until the Medicare ambulance company has done this. If the Medicare ambulance company won't refile your claim, contact your MAC. Your MAC will contact the ambulance company on your behalf to make them aware of their responsibility for filing a Medicare claim. If refiling your claim doesn't result in payment, you may file an appeal.
