Emergency Medical Services (EMS) bills are mailed to the address given at the time of transport. Unless your bill is returned mail, we have no indication that you did not receive it. If your bill is returned, it is noted in our billing system, researched for a better address and re-mailed. We make every attempt to send bills and notifications to our patients. If you fail to receive your bill at the address you provided during the transport, you are still responsible for the charges.