AmbulanceVerify — Ground Ambulance Bill Audit

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A module of EMRVerify

AmbulanceVerify

The bill nobody protects you from.

Patent Pending · 64/135,093 Patent Pending · 64/126,699 Patient-facing No federal protection

01 — Why this page exists

Congress passed the law. Then left one bill out.

Ground ambulance — not covered by federal law

Jan 2022The No Surprises Act takes effect, ending most surprise billing — including for air ambulances.
3MPrivately insured people are transported by ground ambulance in emergencies each year, with no ability to choose the provider.
1 in 4Of those trips may result in a surprise balance bill.
Aug 2024The federal advisory committee issues its recommendations. Federal action then stalls; the committee is now inactive.
22States have passed their own ground ambulance protections. The rest have none.
$0Specialized consumer tools auditing ground ambulance bills today.

SOURCES — No Surprises Act, Consolidated Appropriations Act 2021, eff. 01/01/2022 · Advisory Committee on Ground Ambulance and Patient Billing, Report to the Secretaries, 08/28/2024 (CMS) · Commonwealth Fund, 02/2026 · KFF Peterson Health System Tracker

02 — WHAT THIS AUDITS

One ride. Four ways to overcharge.

Ground ambulance claims run on their own code set. A general medical-bill checker doesn't read them. This one does.

The module

Ground ambulance audit

Emergency and non-emergency ground transport — BLS, ALS, specialty care, and the mileage billed with them.

Runs on HCPCS A0-series + CMS mileage rules
Checks level-of-service upcoding (BLS billed as ALS)
Checks loaded-mileage inflation against point-to-point distance
Checks supplies billed separately that belong in the base rate
Checks rural and super-rural mileage bonuses applied to urban trips
Works with or without insurance

Add-on tier · pricing in development

Got a regular medical bill or EOB instead? That's the core product — see the full audit at EMRVerify.com →

03 — WHAT HAPPENS

Bill in. Letter out.

Six steps. You never have to learn a code.

STEP 1

Upload the ambulance bill

Photo or PDF of the bill, the EOB, or the statement from the transport company.

STEP 2

Read and extract

Base rate code, mileage units, origin and destination modifiers, supplies, and charges are pulled into a structured claim.

STEP 3

Request the run report

Level of service can't be verified without it. If it isn't on file, a records request letter is generated citing 45 CFR § 164.524.

STEP 4

Run the ambulance checks

Every line is tested against the detection modules below.

STEP 5

Write the letter

A plain-English findings summary plus a ready-to-send dispute letter, with each finding cited.

STEP 6

Send and track

You email it and get a record of what was sent, to whom, and when.

04 — THE DETECTION LAYER

What Step 4 actually checks

Nine checks, each mapped to a specific ambulance billing error pattern.

Module	Flags	Reads
UPCODE	Basic life support transport billed at an advanced life support rate	HCPCS A0-series
MILEAGE	Loaded miles billed exceed the actual point-to-point distance	A0425 units
LOS	Level of service not supported by what the run report documents	Run report vs. bill
SUPPLIES	Items billed separately that are already bundled into the base rate	Supply line items
GEO	Rural or super-rural mileage bonus applied to an urban trip	ZIP designation
MODIFIER	Origin/destination modifier used to bypass a coverage edit	Modifier pairs
DUPLICATE	The same transport billed twice	Claim lines
INVALID	Code billed doesn't exist or doesn't apply to ground transport	HCPCS
DOC-GAP	No run report on file to support the charge	Records request

05 — THE QUESTION EVERYONE ASKS

So what do I actually get back?

Three answers, honestly ranked. Most of the value is in the first two.

You already paid it → you get refunded

A charge that was duplicated, miscoded, or never rendered is refunded to you directly by the transport company.

You haven't paid yet → you stop owing it

Your coinsurance is a percentage of the charge, and a balance bill is the whole gap. Correcting the level of service or the mileage lowers both.

The insurer or Medicare was overbilled → they recover it

Those funds return to the payer, not to you. Reporting can carry a small reward. Large recoveries run through whistleblower actions, which require an attorney — not an app.