Medicare denied my claim for an EMS transport with Cranford Fire EMS. How do I obtain a copy of my EMS chart for my appeal with Medicare?

Contact Fire Headquarters at (908)709-7360. An Authorization to Release Healthcare Information Form must be filled out by the patient and notarized. If the patient is present at Fire Headquarters, and has proper photo identification with them, the form can be notarized here. If the patient is unable to be present at Fire Headquarters, the authorization form must be notarized prior to submittal to CFD. Proper photo identification must then be presented for the individual authorized by the patient to pick up the EMS chart. To obtain an Authorization to Release Healthcare Information Form, click here.

For further information on Medicare claim denials and the appeals process, click here.