(For Use by Health Care Facilities Only)
Questions? Our non-emergency phone number is 727-587-2111.
Please complete before scheduling a transport.
Sunstar Interfacility Billing Form
Medicaid has established criteria for ambulance transports that our office must adhere to in order to file a claim. Eligibility for Medicaid does not guarantee that Medicaid will pay for a patient’s ambulance services. Questions regarding Medicaid’s criteria should be referred to the patient’s local Medicaid Office. Transports resulting from a motor vehicle accident will require the patient to complete an automobile insurance information form that will be mailed by Sunstar Paramedics. It is important to complete this form in its entirety. Once the form is returned to Sunstar, our billing team will file a claim directly with the customer’s insurance carrier. The customer’s account will then be placed on hold to allow ample time for the insurance company process the claim. The remaining balance will be billed to the customer.