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Austin-Travis County Emergency Medical Services

Austin-Travis County Emergency Medical Services

Billing

Payment Portal & Discount Program

Austin-Travis County EMS is a professional healthcare organization that provides emergency medical services to the City of Austin and surrounding Travis County. We are a City of Austin department who partners with area first responders to provide 9-1-1 ALS care prior to our arrival; however, we are not part of the Fire Department or the Police Department. This allows us to provide a much higher level of care and focus on doing one thing exceptionally well, out of hospital medical care.

We charge users a fee, just like your doctor’s office or the hospital emergency room. However, because we are a government agency, we can keep our user fees low compared to private-for-profit EMS providers. By providing the EMS crew with your insurance coverage information, our staff can bill your insurance provider, Medicare, Medicaid, MAP or worker’s compensation, direct, so you can focus on a speedy recovery.

View the current Fee Schedule

At Austin-Travis County Emergency Medical Services, patient care does not end at the hospital emergency room. Our billing services are all done in-house so we can ensure the same high-level customer service as we provide in our EMS 9-1-1 call center and in the ambulance.

Medical Records

For all records requests and inquiries from patients and law offices, email EMSMedicalRecords@austintexas.gov

Insurance Claims

The EMS billing department can assist with filing insurance claims to Medicare, Medicaid and commercial insurers. To submit your insurance information or an authorization to file a claim to your insurance, visit https://cityofaustin.formstack.com/forms/insurance_submission_form 

Payments

We accept most credit cards: MasterCard, VISA, American Express and Discover. We also accept payments made by cash, check and money order. Payments can be made in the following ways:

Payment Options

The City of Austin uses Austin Finance Online to manage your Austin-Travis County EMS payments. Through the payment portal, you can make a one-time payment or, for dates of service prior to October 1, 2025, set up recurring monthly payments. Please have your invoice available when making a payment, as you will need information from your invoice to complete the required fields. 

To make a one-time payment, select the One-Time Payment button below to access the Austin Finance Online payment portal. 

Make a   One-Time Payment

For dates of service prior to October 1, 2025, you may set up recurring monthly payments through the Austin Finance Online payment portal.

Through the secure portal, you can:

  • Create a recurring payment schedule
  • Set up and save your payment method
  • Update an existing payment schedule
  • Stop a recurring payment schedule
  • Update your saved payment method

Set Up a  Recurring Payment

Important: Recurring payments must be scheduled at least three (3) calendar days before the date you want the first payment to occur. If the recurring payment is not scheduled at least three (3) calendar days in advance, the payment will not take effect until the following month. 

Instructions for making one0time and recurring payments are also available through the links above.

If you have questions about making a payment, please contact our Billing Office at 512-972-7210, Monday through Friday, 9am-4:30pm. Or email us at EMSBillingInfo@austintexas.gov.

Payment Plans

If you are unable to pay your balance in full, we can offer an interest-free monthly payment plan to help you manage your balance.

To keep your account current while on a payment plan, a payment is required at least every thirty (30) days.

  • Date of service prior to October 1, 2025: You may use the Recurring Payment link above to establish a recurring monthly payment schedule.
  • Dates of service October 1, 2025, and after: You may make monthly payments until your balance is paid in full, or you may set up monthly payments through your financial institution.

Please contact our Billing Office if you have questions about payment options or need assistance with your account. 

 

EMS Discount Program

ATCEMS began its discount program in 2009 to assist the uninsured or underinsured who have received emergency ambulance services. The department updated the program for services provided on or after Oct. 1, 2020.

Program guidelines are based on your date of service:

 

 Apply for the Discount Program

 

Find answers to frequently asked questions about billing and medical records here.

 

 

 


 


 

 
 
If you would like to help support City of Austin Emergency Medical Services Department's community outreach and public education efforts, please visit their page here to make a donation.