Complete the Request for Disclosure of Health Information Form, mail to the address provided with a copy of the applicants photo ID, if applicable, a Power of Attorney, and a copy of the Death Certificate.
Patients Rescue Billing Accounts (disputes, statements, hardship) before DECEMBER 31,2021:
1-888-980-9234 / 1-888-317-2914 or email ClientSupportServicesMIA@digitechcomputer.com.
Patients Rescue Billing Accounts (disputes, statements, hardship) after DECEMBER 31, 2021:
Change Healthcare office: 1-800-226-1012 fax: 305-591-4660.
Hospitals, Medical Examiner, Police Depts. or other Govt. entities:
Contact Fire Rescue EMS Division 954.967.4248
Attorneys requesting EMS Report/ Itemized bill. Mail the subpoena or records request with HIPAA release to City of Hollywood Fire/Rescue, Attn: Medical Records Custodian, 2741 Stirling Road, Hollywood, FL., 33312-6505 OR to only request BILLING records www.ChartSwap.com and use HOLLYWOOD EMS.
Attorneys or patients sending a payment include the account number/patient name. Mail to City of Hollywood Fire/Rescue, Attn: Billing, 2741 Stirling Road, Hollywood, FL., 33312-6505.