The following are the only services that should be entered in the portal as part of your prior authorization request:

• Base rates
• Out-of-town miles (when the pickup point is out of the city limits)
• Oxygen

The following services are either not covered or do not need prior authorization. Do not enter these codes into the portal as part of your prior authorization request:

• Local (in town/city) miles – Local miles are already included in the base rate for ground transport, unless the pickup point is out of city limits.
• Supplies – Gauze, dressings, defibrillation supplies, disposable supplies, etc. Supplies can be billed one time per transport in addition to the base rate, but they do not need prior authorization.
• Drugs – Medications, injectable drugs and IV solutions are covered in addition to the base rate when medical necessity is clearly documented. These items also do not need prior authorization.
• EKG services – EKG monitoring is included in the base rate.