EMS Billing Service

Proposals are due by 10:00 a.m. on June 18th, 2026.

Proposals will be publicly opened and read at 10:00 a.m. on June 18th, 2026.

Commissioners' Court will consider proposals for award on July 6th, 2026.

The anticipated contract start date and billing services go-live date is October 1st, 2026.

The selected vendor will provide comprehensive EMS billing services, ensuring timely and accurate billing and accounts receivable management for emergency medical treatment and transport services based on information supplied by the agency and other verified sources. Services include the management of billing operations, such as claim submissions, detailed follow-ups on rejected, denied, and inactive claims, and precise medical claims coding.

Vendors are expected to maintain robust financial management protocols, including reconciling deposits, receivables, patient accounts, adjustments, and processing refunds. A designated liaison will be responsible for addressing all patient and payor concerns, handling customer service inquiries, and facilitating the preparation and submission of additional third-party claims or payment arrangements. The provider must also supply a toll-free number for patient inquiries.

Additional requirements involve collaborating with hospitals to obtain and verify patient demographic and insurance details, supporting the agency with updates and filings for Medicare, Medicaid, and other insurer enrollment forms. Vendors must offer timely and comprehensive reporting for service evaluation and auditing, as well as real-time, read-only electronic access to billing records and patient account information. Specialized services may include exploring options for billing or subcontracting related to Fire/Rescue responses as requested.