Download Forms for Submitting Insurance Coverage and Requesting Medical Records
Residents and non-residents served by first responders at Big River Ambulance District can easily request medical records related to these services online and submit insurance coverage to help cover ambulance costs. Use our forms library to access and download these important forms.
Submit Insurance Coverage to the District
The District does charge residents who receive emergency care and transport from our first responders. Any balance beyond what is covered by their insurance will be the patient's responsibility. Simply submit the insurance form, and our team will handle the claim and any applicable paperwork. Patients should contact their insurance provider to understand ambulance service coverage, related deductibles, and out-of-pocket expenses.
Nonresident Billing Information
Nonresidents of the District who receive emergency care and transport from our first responders are billed differently than residents. Any balance beyond what is covered by their insurance will be the patient's responsibility. Patients should contact their insurance provider to understand ambulance service coverage, related deductibles, and out-of-pocket expenses.