The City of Monona contracts with LifeQuest Services, a specialized EMS billing company. If you have any questions about your bill, insurance payment for service, or would like a copy of your patient care report, please contact the company by phone at 1-888-777-4911.
Copy of Patient Records
Each patient that is evaluated or treated by the City of Monona Fire Department requires a pre-hospital EMS chart to be completed by the crew member(s) rendering care. The chart is completed electronically and is stored securely for future access if needed. It contains information about the call location, date / time and other pertinent data, the patient’s demographics, medical history, details regarding the patient’s condition as well as any treatments or interventions performed by EMS prior to arrival at the hospital.
Records Request Procedure
In compliance with the HIPAA Privacy Act, the information contained within this chart may only be shared with those providing treatment, for payment purposes (insurance reimbursement, etc.) and for health care operations.
You may request a copy of a patient's pre-hospital EMS chart for any of the following reasons):
Direct request by patient or family
Court Order - Through the legal process, a subpoena may be submitted to LifeQuest Services requesting a copy of a patient's chart.
Legal Request (Lawyers) - Lawyers or legal agencies may request a copy of a patient's chart. These requests must first be approved by the patient or designee.
All requests for patient records shall be processed as quickly as possible, and must be initiated through LifeQuest Services. You may reach them directly at 1-888-777-4911. If you have any questions about patient records, please contact Chief McMullen by calling 608-222-2528.