Patient Services
The Leading EMS Billing Provider in the Mid–West.
Medicount Management, Inc. is your local municipality’s Emergency Medical Services billing agent for ambulance transports for you or a family member. Medicount submits your transport claims to commercial and governmental providers for Accident and Health Insurance payment on your behalf. Please contact us if you have any questions. You may send us your health insurance information directly by clicking on the Registration/Insurance Information Form below.
- Online Forms Registration/Insurance Info Form (Just fill in and click Submit) Financial Hardship Application Form or download form to fax or mail Solicitud de Dificultades Financieras or descargar formulario Questions for our Billers?
- Links to State Funded Insurance for Low Income Patients
- Contact Us
Phone
888.410.6986
Medicount maintains physical, electronic and procedural safeguards to guard your non–public, personal information. Our operational and data processing systems are contained in a secure environment that is access–controlled. To secure sensitive communications between your computer and our web servers, we have implemented digital certificates and enabled strong, RSA1024-bit, encryption. We use secure sockets layer, SSL, security protocol to protect all exchanges of information via our web pages that are considered private or confidential.
Make a Payment
To make a payment, click the “Make Payment” button below. After clicking “Make Payment” you will be taken to our card processing page where your information will be collected.
Question for our billers?
