Why is there a First Responder Fee charged if a Cosumnes Fire Department Engine and an out of District Ambulance arrive at the scene?

In the event that the Cosumnes Fire Department responds to a medical type incident as described above and ambulance service is provided by another Fire Service Agency ambulance, billing processes are altered slightly due to the regulations and practices surrounding the payment of insurance claims. In this event, a First Responder Fee will be billed to the patient’s insurance coverage first separately from the ambulance transport bill from the other fire agency. If the patient’s insurance coverage does not provide a benefit for this type of service, the fee is then billed directly to the patient.

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1. Why am I getting charged a First Responder Fee?
2. Why is there a First Responder Fee charged if a Cosumnes Fire Department Engine and an out of District Ambulance arrive at the scene?
3. Is the First Responder Fee charged if a Cosumnes Fire Department Engine and a Cosumnes Fire Department Ambulance arrive at the scene?
4. Why would an out of District Ambulance take me to the hospital instead of a Cosumnes Fire Department Ambulance?
5. Who do I contact if I have a question about my First Responder Fee bill?
6. What is the process to dispute my First Responder Fee bill?
7. What happens if I do not pay my First Responder Fee bill?