1. A. A certificate holder shall ensure that:

   1. 1. Each invoice for rates and charges contains the following:

      1. a. The patient’s name;
      2. b. The certificate holder’s name, address, and telephone number;
      3. c. The date of service;
      4. d. An itemized list of the rates and charges assessed;
      5. e. The total monetary amount owed the certificate holder; and
      6. f. The payment due date; and
   2. 2. Any subsequent invoice to the same patient for the same EMS or transport contains all the information in subsection (A) except the information in subsection (A)(1)(d).

2. B. A certificate holder may combine into one line item the charges for multiple items if:

   1. 1. The supplies are used together for a specific purpose, and
   2. 2. The name of the combined item is included in the certificate holder’s list provided to the Department according to R9-25-1109.
3. C. A certificate holder may combine rates and charges into one line item if required by a third-party payor.

Historical Note

New Section adopted by final rulemaking at 7 A.A.R. 1098, effective February 13, 2001 (Supp. 01-1). Amended by final rulemaking at 30 A.A.R. 581 (March 29, 2024), with an immediate effective date of March 7, 2024 (Supp. 24-1).