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"Advanced Life Suaaort" <br />Means the use of cardiac monitoring, anti-shock trousers, cardiac defibrillation <br />equipment. Establishing an airway, relieving pneumothorax and administering drugs. <br />"One-wav mileage" <br />Means the distance in miles from the location of the person receiving emergency <br />medical service and or ambulance transportation to the hospital. Such mileage sha11 be calculated <br />to the nearest whole number. <br />"Ambulance" <br />Means a City owned itinerant vehicle equipped and designated to transport injured <br />and ill persons. <br />"5ervice Date" <br />Means the day, month and year emergency medical service and or ambulance <br />transportation was provided. <br />SECTION 7: CLAIMS APPEAL PROCEDURE <br />All persons who receive and are charged for emergency medical service or ambulance <br />transportation may within ninety (90) days following the date of service, file a written appeal with the <br />mayor or his designee if they have a dispute with respect to the amount charged by the City or for <br />reasons cited within sub-section a. and b. of this section. T'he written appeal should clearly indicate <br />the subject of the appeal, the service and charges which are being appealed and the reason(s) <br />therefore. In addition, the following criteria must be clearly addressed within the written appeal: <br />a. Must provide satisfactory and convincing evidence that emergency medical service and <br />ambulance transportation was not provided. <br />b. Persons who do not have means to pay the invoiced chazges or medical insurance coverage <br />through a commercial carrier, self-insured medical insurance plan or are not eligible to <br />receive medical assistance payments through the CUYAHOGA County Department of <br />Welfare or any other unit of governmerrt must be provide satisfactory documentation. The <br />mayor or his designee shall develop a list of specific forms of documentation which will <br />be acceptable. <br />page 4 <br />