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EMS Billing Questions? The City of Hanahan contracts with billing provider for these services. Most questions can be answered by contacting them directly.

Colleton Software
PO Box 1308 | Walterboro, SC 29488
Primary Phone: (800) 874-3617 
Secondary Phone: (843) 549-3444 


Preparing for an EMS Response

Having a need for EMS to respond can be a stressful time. Take a moment and familiarize yourself with some information to help make everything more efficient.

Calling 9-1-1

When you call 9-1-1 for a medical emergency, the 911 dispatch center collects vital information for First Responders and dispatch immediate help to your location. While First Responders and on the way to you it is common for the dispatcher to stay on the line with you and continue to ask you more questions. This does not delay the response by First Responders. It does however provide them with valuable information about your emergency and ensure the most up to date information about the situation.

Who Is Coming?

Our team of providers are highly trained Paramedics and Emergency Medical Technicians (EMT) will arrive by ambulance and fire engines. They are capable of providing the most advanced emergency medical care available. In some cases; if our ambulance is busy a fire department unit will be sent for a medical emergency. They are trained at the EMT-Basic level, and for some conditions they can begin treatments before another ambulance can arrive.

Preparing Your House

  • Have someone flag the First Responder down at the street if available
  • Turn on porch lights
  • Unlock doors
  • Put pets away if possible

Have Prepared Information Available

Consider preparing the patient infomation document that you can hand to us when we arrive. It can save precious seconds by providing First Responders with vital information right at their fingertips. It can also aid in gathering important information if someone is too sick to communicate well. Use a magnet to hold this form to your refrigerator.

Download the Patient Information Form here

EMS Access for Your Private Residence

Sometimes people are concerned that First Responders won’t be able to get to you if your door is locked and you aren’t able to unlock it. Rest assured; we will get to you if you need us. If you have placed a door key in an exterior lock box or some other location, you can contact us (hyperlink to email for myself), and we will put that information in a file with the 9-1-1 Center. It will be secure and that information will be available to responders if there’s a medical call from your address.

Fire and EMS Access for Multi-Residential Dwellings / Commercial buildings

A commercially available product, called Knox Box, is available to property managers. It is an exterior lock-box which holds your door key, fob, or card key, and it is commonly used by the Hanahan Fire and EMS. You purchase the box, and HFD units maintain a key that will open the box and allow us to use the key you provided to gain access to the property.

How to get a Knox Box:

  • Go to and click “buy” in the upper right corner
  • Type “Hanahan” in the search box to find your agency, then click “Show More”
  • Select “Hanahan Fire Department”
  • Select the KnoxBox 3200 Standard Capacity box
  • Under Options, choose the Mount Type most appropriate for your application (most choose the Surface Mount)
  • Choose the color most appropriate for your application
  • No tamper switch is required
  • Make your purchase

Once you have received and installed your Knox Box, call HFD at 843-554-4221. We will come out and open the box with our Knox key so that you can load in your key, fob, or key card. We’ll place Red and Blue reflective tape on your box, which will designate it as a Fire/EMS access box.


EMS Fee Structure

​Hanahan Fire and EMS Ambulance User Fees (patient billing) are in place for the purpose of recouping costs. User Fees are set by the Berkeley County Commissioners and based on Federally established Medicare rates.

EMS ambulance billing is determined by the service provided. The following terms are used to describe service types.

  • Basic Life Support (BLS) – Medical evaluation, vital signs, bandaging, splinting, oxygen, etc.
  • Advanced Life Support (ALS) – Medications, IVs, advanced airway procedures, heart monitoring, 12-lead EKGs, heart pacing, etc.
  • ALS I – ALS procedure
  • ALS II – Multiple ALS procedures
  • Loaded Miles – Distance of transport with patient on board

Everyone transported to an Emergency Department (ED) receives at least BLS care. Some patients receive ALS I or ALS II care.

Not all patients we see are transported to an ED. Some patients who are not transported may still receive BLS, ALS I, or ALS II level care. No Transport fees may be charged when BLS or ALS procedures are performed. ALS No Transport is a single rate, regardless of whether multiple ALS procedures are performed.

Per Medicare standards, Hanahan Fire and EMS does not itemize bills, but instead uses the Medicare flat rate structure.

2019 Rate Chart – Transported to Emergency Department

Service Type Fee Loaded Miles
BLS $447.17 + $10.00/mile
ALS I $476.16 + $10.00/mile
ALS II $689.17 + $10.00/mile

2019 Rate Chart – No Transport

Service Type Fee
BLS $75
ALS $75

I pay taxes. Why would I be billed for EMS Services?

Taxes pay for the staffing, vehicles and stations required to provide Emergency Medical Services. User fees help offset the costs of specific equipment and supplies associated with each ambulance call. If you fail to pay your user fee, EMS may collect the fee from your state tax refund using a debt set off program.

HIPAA Privacy Notice

This notice describes how medical information about you may be used and disclosed and how you can get access to this information, as per the Health Insurance Portability and Accountability Act (HIPAA). Please review it carefully.

Hanahan Fire Department and EMS is required by law to maintain the privacy of certain confidential health care information, known as Protected Health Information or PHI, and to provide you with a notice of our legal duties and privacy practices with respect to your PHI. Hanahan Fire Department and EMS is also required to abide by the terms of the version of this Notice currently in effect.

Uses and Disclosures of PHI: Hanahan Fire Department and EMS may use PHI for the purposes of treatment, payment, and health care operations, in most cases without your written permission. Examples of our use of your PHI:

  • For Treatment:
    This includes such things as obtaining verbal and written information about your medical condition and treatment from you as well as from others, such as doctors and nurses who give orders to allow us to provide treatment to you. We may give your PHI to other health care providers involved in your treatment and may transfer your PHI via radio or telephone to the hospital or dispatch center.
  • For Payment:
    This includes any activities we must undertake to get reimbursed for the services we provide to you, including such things as submitting bills to insurance companies, making medical necessity determinations, and collecting outstanding accounts.
  • For Health Care Operations:
    This includes quality assurance activities, licensing, and training programs to ensure that our personnel meet our standards of care and follow established policies and procedures, as well as certain other management functions.

Use and Disclosure of PHI Without Your Authorization: Hanahan Fire Department and EMS is permitted to use PHI without your written authorization, or opportunity to object, in certain situations, and unless prohibited by a more stringent state law, including:

  • For the treatment, payment, or health care operations activities of another health care provider who treats you;
  • For health care and legal compliance activities;
  • To a family member, other relative, or close personal friend or other individual involved in your care if we obtain your verbal agreement to do so or if we give you an opportunity to object to such a disclosure and you do not raise an objection, and in certain other circumstances where we are unable to obtain your agreement and believe the disclosure is in your best interests; situations as required by law (such as to report abuse, neglect, or domestic violence);
  • For health oversight activities including audits or government investigations, inspections, disciplinary proceedings, and other administrative or judicial actions undertaken by the government (or their contractors) by law to oversee the health care system;
  • For judicial and administrative proceedings as required by a court or administrative order, or in some cases, in response to a subpoena or other legal process;
  • For law enforcement activities in limited situations, such as when responding to a warrant;
  • For military, national defense, and security and other special government functions;
  • To avert a serious threat to the health and safety of a person or the public at large;
  • For workers’ compensation purposes, and in compliance with workers’ compensation laws;
  • To coroners, medical examiners, and funeral directors for identifying a deceased person, determining cause of death, or carrying on their duties as authorized by law;
  • If you are an organ donor, we may release health information to organizations that handle organ procurement or organ, eye, or tissue transplantation, or to an organ donation bank, as necessary to facilitate organ donation and transplantation;
  • For research projects, but this will be subject to strict oversight and approvals;
  • We may also use or disclose health information about you in a way that does not personally identify you or reveal who you are.

Any other use or disclosure of PHI, other than those listed above will only be made with your written authorization. You may revoke your authorization at any time, in writing, except to the extent that we have already used or disclosed medical information in reliance on that authorization.

Patient Rights: As a patient, you have several rights with respect to your PHI, including:

  • The Right to Access, Copy or Inspect your PHI;
    This means you may inspect and copy most of the medical information about you that we maintain. We will normally provide you with access to this information within 30 days of your request. We may also charge you a reasonable fee for you to copy any medical information that you have the right to access. In limited circumstances, we may deny you access to your medical information, and you may appeal certain types of denials. We have available forms to request access to your PHI and we will provide a written response if we deny you access and let you know your appeal rights. You also have the right to receive confidential communications of your PHI. If you wish to inspect and copy your medical information, you should contact our privacy officer.
  • The Right to Amend your PHI;
    You have the right to ask us to amend written medical information that we may have about you. We will generally amend your information within 60 days of your request and will notify you when we have amended the information. We are permitted by law to deny your request to amend your medical information only in certain circumstances, like when we believe the information you have asked us to amend is correct. If you wish to request that we amend the medical information that we have about you, you should contact our privacy officer.
  • The Right to Request an Accounting;
    You may request an accounting from us of certain disclosures of your medical information that we have made in the six years prior to the date of your request. We are not required to give you an accounting of information we have used or disclosed for purposes of treatment, payment or health care operations, or when we share your health information with our business associates, like our billing company or a medical facility from/to which we have transported you. We are also not required to give you an accounting of our uses of protected health information for which you have already given us written authorization. If you wish to request an accounting, contact our privacy officer.
  • The Right to Request that we Restrict the Uses and Disclosures of your PHI;
    You have the right to request that we restrict how we use and disclose your medical information that we have about you. Hanahan Fire Department and EMS is not required to agree to any restrictions you request, but any restrictions agreed to by Hanahan Fire Department and EMS in writing are binding on Hanahan Fire Department and EMS.

Internet, Electronic Mail, and the Right to Obtain Copy of Paper Notice on Request. We maintain a Web site, and we will prominently post a copy of this Notice on our Web site.

If you allow us, we will forward you this Notice by electronic mail instead of on paper and you may always request a paper copy of the Notice.

Revisions to the Notice: Hanahan Fire Department and EMS reserves the right to change the terms of this Notice at any time, and the changes will be effective immediately and will apply to all protected health information that we maintain. Any material changes to the Notice will be promptly posted in our facilities and posted to our Web site, if we maintain one. You can get a copy of the latest version of this Notice by contacting our privacy officer.

Your Legal Rights and Complaints: You also have the right to complain to us, or to the Secretary of the United States Department of Health and Human Services if you believe your privacy rights have been violated. You will not be retaliated against in any way for filing a complaint with us or to the government. Should you have any questions, comments or complaints you may direct all inquiries to our privacy officer.

Privacy Officer Contact Information:
Assistant Fire Chief Michael Bargeron
Hanahan Fire Department and EMS
1255 Yeamans Hall Road
Charleston, SC 29405

Phone: (843) 242-7393


Effective Date of the Notice: February 27, 2018

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