Patient Account Services

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The ""Patient Account Services Division of Fort Bend County Emergency Medical Service handles all aspects of patient billing as it pertains to 911 emergency ambulance transport.  Any and all billing questions, including but not limited to insurance, payment plans, collection notices and requests for billing records are handled by the Division.  To speak with a Patient Account Services representative, call 281-633-7064.  For your convenience, you can submit payment online, by mail, or in person.

 

Medical Records

Patients may obtain their own medical run records by utilizing the following procedures:

  1. The Authorization for Disclosure, Use or Receipt of Protected Health Information Form must be submitted, in writing, to Patient Account Services via fax, e-mail, or USPS. The request should provide the patient's full name, date of birth, date(s) of service, and any other information which will aid in locating the document (or documents) requested. The completed request must be made by the patient and include a copy of a valid state or federal ID. Please include your contact information, including e-mail address, and your preferred method of delivery in your written request. There is a $5.00 delivery fee charged for mailing records to the requestor.
  2.  

    **In the case of a personal representative/POA, the requester must present a complete and valid HIPAA compliant release or POA along with a copy of their state or federal ID along with the aforementioned documentation**

     

  3. The fee for copies of your own medical records is $10.00 (unless they are needed for legal purposes). Cost of receiving the medical and/or billing records of another person is $0.50 per page, plus the cost of any related delivery fee(s).

    Upon receipt of all necessary documentation, and request approval, you will be invoiced for your records. You must submit payment in full prior to the release of the records. The only accepted forms of payment are money orders or bank cheques/cashier’s checks. Your records will be delivered to you in the manner you chose as soon as payment is received.

FBCEMS uses ChartSwap, a HIPAA compliant fulfillment platform, to securely transmit electronic medical and billing record requests from medical providers, law firms or other requesting parties not listed above. Requestors are required to register on the ChartSwap website in order to request medical and/or billing records, balance verifications, or fee reductions. Any questions, regarding ChartSwap registration may be addressed by calling them directly at 855-879-7927.

Patient Survey Form

Fort Bend County Emergency Medical Service strives to provide the finest in prehospital care available to those requesting our assistance. One very important measure of our performance is obtained from comments about the service received.  If you or a member of your family recently required service provided by Fort Bend County Emergency Medical Service, we would appreciate learning more about your experience.  

Please consider completing a short 1 minute survey.  The confidential input you provide is very important and helps improve our service.  Thank you.

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