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Appeals Process

A small number of ambulance fees can be remised by BC Emergency Health Services (BCEHS).

Remission of ambulance invoices is enabled through the Financial Administration Act and the Emergency Health Services Act Remission Regulation (the Regulation).

To apply for remission under one of the five remission provisions, you must submit the required information. The Regulation includes the following provisions and conditions under which BCEHS can authorize remission of ambulance fees:

To apply for this remission provision, please call Ambulance Billing at 250-356-0052 (toll free 1-800-665-7199). BC Emergency Health Services ambulance billing specialists are available Monday to Friday, 9 am to 4 pm PST excluding statutory holidays.

To apply for this remission provision, please call Ambulance Billing at 250-356-0052 (toll free 1-800-665-7199). BC Emergency Health Services ambulance billing specialists are available Monday to Friday, 9 am to 4 pm PST excluding statutory holidays.

If you have concerns with the quality of service provided, please contact the PHSA Patient Care Quality Office.


Hours: Monday to Friday 8:30am - 4:30pm (closed on statutory holidays)

PHSA PCQO
Suite 200, 1333 West Broadway
Vancouver BC V6H 4C1 
Phone: 1-888-875-3256 (toll free)
Fax: 1-604-708-2762
To apply for this remission provision, please review the detailed information below to ensure you qualify. This regulation only applies to Canadian residents.

The Remission Regulation enables remission of the ambulance fee when the following two conditions have been met:
  1. The initial invoice for the provision of ambulance services to a person was not issued by BCEHS within 12 months of the date those services were provided.
  2. To impose this fee, after that time period, it would create a great hardship for that person.  You satisfy the great hardship requirement of the Regulation if your adjusted family net income is less than $42,000.
Please note: BCEHS can only consider claims for financial hardship from Canadian residents. New immigrants and visitors are not eligible to claim financial hardship. New immigrants sign a declaration saying they or a sponsor will cover any medical costs, and visitors are expected to have extended medical and/or travel insurance before arriving in British Columbia.

If you have reviewed the financial hardship appeal information and wish to apply, please provide the following:
  • A completed and signed Application for Fee Remission Due to Financial Hardship (EHS 2598) form
  • A copy of the applicant’s (and spouse’s, if applicable) most recent Canada Revenue Agency Notice of Assessment
  • Other documents that you feel may support your claim of financial hardship
  • If someone has power of attorney or another legal representation agreement and, is signing on your behalf, include a copy of the agreement

Send to:

BCEHS – Ambulance Billing
PO Box 9600 Stn Prov Govt
Victoria BC V8W 9P7

Phone: 250-356-0052
Toll free: 1-800-665-7199
Fax: 250-356-1383
To apply for this remission provision, please review the detailed information below to ensure you qualify. This regulation only applies to Canadian residents.

The Remission Regulation enables remission of the ambulance fee when the following two conditions have been met:
  1. The invoice was submitted to another person/organization or an insurer and they refused to pay that fee as result of that delay.
  2. To impose this fee on the person, after that time period, would create a great hardship for that person.  You satisfy the great hardship requirement of the Regulation if your adjusted family net income is less than $42,000.
Please note: BCEHS can only consider claims for financial hardship from Canadian residents. New immigrants and visitors are not eligible to claim financial hardship. New immigrants sign a declaration saying they or a sponsor will cover any medical costs, and visitors are expected to have extended medical and/or travel insurance before arriving in British Columbia.

If you have reviewed the financial hardship appeal information and wish to apply, please provide the following:
  • A completed and signed Application for Fee Remission Due to Financial Hardship (EHS 2598) form
  • A copy of the applicant’s (and spouse’s, if applicable) most recent Canada Revenue Agency Notice of Assessment
  • Copy of rejected notice from persons/organizations or insurer. 
  • A copy of your insurance coverage rate that would have been paid by the insurer (e.g. 40%, 60%, 80%) if the invoice had been submitted within the allowable claim period.  The patient is responsible for the difference.  
  • Other documents that you feel may support your claim of financial hardship
  • If someone has power of attorney or another legal representation agreement and, is signing on your behalf, include a copy of the agreement

Send to:

BCEHS – Ambulance Billing
PO Box 9600 Stn Prov Govt
Victoria BC V8W 9P7

Phone: 250-356-0052
Toll free: 1-800-665-7199
Fax: 250-356-1383
SOURCE: Appeals Process ( )
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