What this section is for
The Transport section describes the ambulance trip itself: where the patient was picked up, where they were taken, the type of transport, and the miles driven.
Fields in this section
- Type of Transport — pick Initial Trip, Return Trip, Round Trip, or Transfer Trip. If you pick Round Trip, a Round Trip Purpose field appears.
- Emergency — Yes or No. Emergency transports are reimbursed differently than non-emergency ones.
- Pick Up — search for an existing facility or enter the pickup name, address, city, state, and ZIP.
- Destination — same fields as Pick Up, but for where the patient was taken. This is usually a hospital or medical facility.
- Mileage — enter the Documented Mileage (the miles the crew recorded). The claim also shows Auto Calculated Mileage from the pickup and destination addresses. Click Use Auto Calculated Mileage to use that value instead, or keep your documented mileage in place.
Why miles matter
Insurance companies pay a base rate for the ambulance response plus a per-mile rate for the distance. If you enter the wrong mileage, you will be overpaid or underpaid. Either way, it creates problems — overpayments have to be refunded, and underpayments mean lost revenue.
Example
Your crew picked up a patient at 123 Oak Street and took them to County General Hospital. It was a 911 emergency call. You select Initial Trip for Type of Transport, Yes for Emergency, search for the hospital as the Destination, and enter the pickup address. The Auto Calculated Mileage shows 8.4 miles — match that against what the crew documented, then move on.
Tips
- If the claim was imported from CloudPCR, the pickup and destination should already be filled in. Verify the miles match what the crew reported.
- For inter-facility transfers (hospital to hospital), make sure you have the correct addresses for both facilities so the auto-calculated miles are accurate.