Fire Billing Services Information

At EMS Billing Services Inc., we have built a reputation for providing the most thorough and comprehensive billing services in the Midwest. EMS Billing Services can help you get paid for fire, extrication, hazmat, rescue and false alarm services. Based on our experience, we have established a recommended rate structure that takes into consideration vehicle depreciation and operational costs, equipment costs, and personnel time and training.

What we provide

  • Additional income for your department.
  • Computerized reports.
  • No-risk venture. If we do no collect, you do not pay.
  • No start-up costs.
  • Bonded and insured staff.
  • Toll-free telephone number.
  • Complete follow-through, from billing to payment.
  • Payments deposited directly into your checking account.
  • The ability to perform all processes electronically, no matter how big or small your service is.

Click here to fill out a fire billing request form.

For questions regarding fire billing, please contact Pam Benne at 866-367-9112, ext. 1003.

All reports can be emailed to us at, faxed to our toll-free number at 888-334-0085 or emailed to our corporate office at 6907 N. 102 Circle, Omaha, NE 68122.

Fire Billing Q&A

Are volunteer fire departments considered a free service?

Like any public service, providing emergency fire response carries costs. Safety gear, gas, vehicle maintenance, training, communications and utilities are just a fraction of operating costs that can easily overwhelm a volunteer force. Billing for services and cost recovery will not impact your department’s non-profit status as a 501cs or 501c4. On the contrary, with state and federal reimbursement mandated by law, funds to supplement your department’s operating income are readily available. Private insurers also readily reimburse when paperwork is filed properly. Filing official claims on your behalf is beneficial both for recouping and mitigating the costs of mileage, depreciation, HAZMAT clean-up, Jaws of Life usage, etc.

Can we legally bill for services? What can we bill for?

Yes, billing is legal in most states. In some circumstances, the government and/or states might impose a cap on reimbursements. Billable costs include personnel, equipment and debris removal. This includes situations like HAZMAT, structural fires, water emergencies, mutual aid incidents, accidents and fires involving motor vehicles.

Is billing worth the effort?

We are only paid if and when your department receives reimbursement.  Essentially, your department is sitting on ready funds. Even the smallest, most remote volunteer fire departments respond to a few billable fire calls or motor vehicle crashes annually. After an initial set-up, your only task is to send your incident report by toll-free fax. We take care of the rest.

Who are you billing?

Insurers (Property/Auto/Business/Umbrella) and/or the party responsible for the incident. Depending on locality, insurance reimbursement may be limited per policy. Our clients are given the choice to determine whether payment denials go to collection or write-off.

Will billing impact our donations and fundraising?

FEH Billing Services can help you with these issues. We understand the importance of community support and public relations. Departments often choose to collect what they can from insurance companies and write off the remaining balance so individuals in their community aren’t burdened further. If handled professionally, a customized billing plan can improve your overall community standing.

How does the process work?

Your department continues to do what it does best. Information collected by your department at the incident scene is transmitted to FEH on a predetermined schedule. We then submit the bill to the insurer or responsible party and pursue payment accordingly.

What does this service cost?

FEH charges a nominal percentage on what we collect for your squad. If you don’t collect, we don’t.

Does our squad need authorization from our municipality to sign up? Doesn’t this fall under taxation?

When an at-fault party’s insurer reimburses for FEH costs, the revenue directly benefits the local tax base. Additionally, if a fire department does not consider billing options to recoup basic costs, non-residents who may be involved in an accident in your community are cushioned by resident. Permission to initiate an FEH billing process will require city or county involvement. Our company is well versed in these dialogues and can offer sample ordinances and act as official liaisons.

Will billing cause our insurance premiums to increase?

Bills for fire and motor vehicle accident services represent a very small percentage of claims filed, and generally premiums are not impacted. Often, homeowner, auto, business and umbrella policies carry clauses to cover these claims. However, we do recommend discussing your policy with your insurance agent or provider as part of initial due diligence.

Is billing for fire services considered taxation?

When your fire department provides service to a community member, revenue is recouped from that resident’s insurance company.  The taxpayer does not pay any out-of-pocket expenses and the costs that are recovered from the insurance company directly benefit the taxpayer and the community that your department protects and serves. In addition, it should be noted that if you choose not to bill insurance companies to recoup the costs associated with your services, taxes may need to be raised to cover the costs of services provided by your fire department. Additionally, there also may be times when your services will be provided to non-residents who do not pay taxes in your community.

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“You provide excellent service and provide step by step procedures on how to use the system. Excellent, excellent work!”


“Revenues are going up steadily.”

Vicki S.

“Because of the collections generated by EMS Billing Services, we were able to upgrade to a new ambulance that is advanced life support capable. Having advanced life support is very beneficial when you have longer transport times like we do.”

Tony E.

“It's a great feeling knowing that everything is being taken care of. It is a big relief. A big weight was taken off my shoulders. Feels great!”


“We wouldn't be comfortable working with the insurance companies' and Medicare's coding for billing. It's a necessary job we don't have to worry about! Thanks for your service!”


“We have purchased a newer rescue unit and a power cot, as well as the fact that because of the income from the billing, have gotten our rescue service completely self sufficient.”

Montee S.

“I truly appreciate all the work you guys do. I only hear good things from patients when they have had any interaction from EMS Billing. I take great pride is having a company like you represent us and do the billing.”


“Having a billing service frees up time and manpower that is better used in training and other projects to better our department.”

Jeff G.

“Customer service is great! Never had to talk to a crabby employee and all are very personable! Go to work right away to answer or help with anything.”



“We have had nothing but a positive experience with EMS Billing. It was the best decision we could have made in finding someone to do our billing.”


“It is nice to know that people who know what they are doing are taking care of us. I would not want to have to worry about billing our patients directly.”

Cheri J.

“All of our runs are being billed. EMS Billing Services makes sure we are in compliance with Medicare and Medicaid.”

Jean P.

“Qualified, timely and knowledgeable staff make it easy for a small department to maintain acceptability for the changing world of Medicaid/Medicare.”

Dan C.

“You are always there to help me when I need your help. I can count on you to tell me what I need to do to take care of our patients.”

Jacqueline M.

“We actually get something back when we get all the paperwork done.”

Teresa H.

“They became an all-inclusive agency that allowed us to free up more time for our administrative staff.”

Gerry L.

“Staying up with all of the regulations is truly a full-time job. Using EMS Billing Services has saved us a lot of time and headaches. This removes a big workload from our volunteers.”

Doug R.

“The change in revenue has been phenomenal. Before we started using EMS Billing Services, we were collecting $1,000 or less a year. Now we’re collecting almost $70,000.”

Brant M.

“Increased revenue to our small department has been a Godsend for us.”

Diana D.

“We do not have to spend hours on the paperwork and trying to collect ourselves.”

Jolene A.

“EMS Billing has taken the workload and the pressure out of the office by filing and taking care of the claims process. Being the Village manager, it makes my job easier to present to the council the revenue that the EMS is bringing in versus what we are getting.”

Larry W.

“We have taken in more revenue since you started billing for us. We recommend your billing service to many who have contacted us.”

Anti J.

“We are sure that all of the billing is being coded correctly and in a timely manner.”

Terri A.


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