On January 6, 2004 the Trustees adopted Resolution No. 04-05 to establish a “soft billing” policy for Palmyra Township residents and Southeast students. Soft billing is charging your insurance company and accepting the amount they pay for the service as payment in full.
LifeForce Management our billing agency will request insurance information as a result of an emergency run made by the Palmyra Township Emergency Medical Service due to an injury or illness where you or a family member were a patient. This letter is not an attempt to collect payment from you for that service; it is our intention to file a claim with your insurance company, including automobile coverage, for payment. Any balance due, after insurance Explanation of Benefits and/or payment, will be written off.
Please complete the form requesting insurance information even if you do not have insurance and forward it to LifeForce Management, Inc., 800 Enterprise Parkway, Ravenna, OH 44266 as soon as possible. They are the authorized billing agent for Palmyra Township. If you have any billing questions, please contact them at 330-626-5450. Failure to respond will result in the EMS bill being forwarded to our collection agency.
Any questions contact one of your Township Trustees.