City of Pullman

WHAT YOU SHOULD KNOW IF TRANSPORTED BY CITY OF PULLMAN AMBULANCE

CITY OF PULLMAN
AMBULANCE BILLING SERVICES

City of Pullman Fire Department is now partnered with Systems Design EMS and Ambulance Billing Services. Systems Design provides customized ambulance billing, EMS billing, and accounting services exclusively for fire and rescue organizations throughout the western United States.

Systems Design has been a leader in the ambulance billing and EMS billing industry for over 27 years. Their services include cutting-edge technology, state-of-the-art software and hardware, and world-class customer service that is always compassionate, reliable and professional.

To request an insurance form or inquire about your ambulance transport claim submittal, contact the billing services office by calling or clicking on the link below.

Contact the billing office at: 
EMS Billing Services
PO Box 3510, Silverdale, WA 98383-3510
(800) 238-9398 or (360) 394-7010
Hours: 8:00 AM to 6:00 PM Monday through Friday (Pacific Time)

http://www.emspatient.com/pullman/

Pullman Fire Department staff is also available to assist you. Please call (509) 338-3271 or stop by the Pullman Fire Department Administrative Office located at  620 South Grand Avenue. Our office hours are 8:00 AM to 5:00 PM Monday through Friday.

CITY OF PULLMAN AMBULANCE RECORDS

Patients who are treated and transported by City of Pullman Ambulance personnel may request a copy of their ambulance treatment record known as a Patient Care Report and other related documents in his or her file.

Patient Care Reports are medical records and as such they are protected under Federal and Washington State laws. City of Pullman Ambulance personnel follow strict guidelines to ensure confidentiality of the patient’s protected health information (also known as PHI). As healthcare providers, we are allowed to use and disclose patient health information for specific purposes without your authorization or notification. For details about our legal duties and privacy practices, please refer to the complete City of Pullman Ambulance Notice of Privacy Practices which is available on our website. If you prefer a paper copy, one will be mailed to you upon request.

Patients retain the right to protected medical records even after death. The patient’s designated personal representative or the legal executor of his or her estate has a right under law to access the patient’s records. What documentation is needed to make the request for a deceased patient’s records? A combination of the patient’s death certificate and a court document establishing estate executorship is sufficient to establish one’s right to the patient records.

To obtain records, the patient (or parent/legal guardian of minor-age patient) must submit a written request stating the specific medical record requested, to whom and where the record should be released to, and daytime contact information for the person authorizing the release. We can provide you with our Authorization for the Release of Protected Health Information form upon request. The request should be accompanied by a good-quality photocopy of the signatory’s valid driver license or government-issued photo ID along with pertinent court documents if applicable. When a request for records is received by our office, we will contact the requester to provide the estimated release date and cost of copying and mailing the records. Records are released after prepayment of copying and mailing fees.

Records Requests can be submitted in one of three ways: In-Person; U.S. Mail or Fax. Please indicate whether the records will be picked up in person, faxed, or mailed through the U.S. Postal Service.

For further questions, please contact Medical Records Specialist Brenda Davison at (509) 338-3271.

City of Pullman Fire Department
Attn: Medical Records Specialist
620 S Grand Ave.
Pullman, WA 99163
Fax: (509) 332-4460

Click on the green box below to open fillable form:
Medical Records Request Form.pdf

CITY OF PULLMAN FIRE DEPARTMENT
INTRODUCTION TO NOTICE OF PRIVACY PRACTICES

The Pullman Fire Department is the municipal provider of pre-hospital emergency medical treatment and transport in Pullman, WA. As a health care provider, Pullman Fire Department, its officers, agents and employees are required by law to maintain the privacy of health care information, known as protected health information (PHI), pertaining to individual patients. Pullman Fire Department strives to maintain the confidential nature of patient care records, abide by the terms of the notice currently in effect, and provide patients a notice setting forth how the Fire Department may use this information and to whom it may be disclosed.

To request to have a paper copy of the Notice of Privacy Practices mailed to you, have any questions, wish to file a complaint or exercise any rights listed in this Notice, please contact:

Brenda Davison or Ryan Scharnhorst
City of Pullman Ambulance/Pullman Fire Dept.
620 S Grand Ave
Pullman, WA 99163
509-338-3271

Click on the green box below to open document:
  Notice of Privacy Practices.pdf