R9-25-1110. Invoices (A.R.S. §§ 36-2234, 36-2239)

A. A certificate holder shall ensure that: 1. Each invoice for rates and charges contains the following: a. The patient’s name; b. The certificate holder’s name, address, and telephone number; c. The date of service; d. An itemized list of the rates and charges assessed; e. The total monetary amount owed the certificate holder; and f. The payment due date; and 2. Any subsequent invoice to the same patient for the same EMS or transport contains all the information in subsection (A) except the information in subsection (A)(1)(d). B. A certificate holder may combine into one line item the charges for multiple items if: 1. The supplies are used together for a specific purpose, and 2. The name of the combined item is included in the certificate holder’s list provided to the Department according to R9-25-1109. C. A certificate holder may combine rates and charges into one line item if required by a third-party payor.