I think its great that there are other hatzolah that have been billing. They serve as a model for the Queens group. No sense reinventing the wheel if the billing model already exists.
Medical necessity is a determining factor in whether an insurance company (if covered) or Medicaid will pay for transport. Health insurance policies that cover transport will not cover a home call for Yankey’s runny nose, or Ruth swallowing a penny. For Medicaid and Medicare patients the ambulance service must meet their ambulance requirements and certifications. Just something to think about.