AMM - The Fiscal Intermediary for Sacramento
           

Provider Resources


CLAIM STATUS
Providers may check the status of in-process claims via the AMM Claims Manager portal. Providers may also download EOB in this portal. Please create a new account or log in here.

For a full list of claims processing adjustment codes, click here.


RESOURCES

Important Contacts

The Sacramento County Physicians Emergency Medical Services (PEMS) Provider Operations Manual includes general information including but not limited to, program overview, covered services, and billing instructions.

The Maddy Emergency Medical Services (EMS) Fund Physician Emergency Medical Services (PEMS) Guidelines contains the general information including but not limited to program overview, covered services, billing instructions, general requirements for program participation, and claims reimbursement.

To view the quarterly distribution schedule, click here.

CLAIM SUBMISSION REQUIREMENTS
Sacramento County Physicians Emergency Medical Services (PEMS) providers may submit claims for services rendered when:
  • They have waited at least three (3) months from the date of billing the patient or third party, during which time they have made at least two (2) attempts to obtain payment, and
  • Have received no reimbursement for any portion of the amount billed, or
  • Received actual notification from the patient or third party that no payment will be made for the services rendered.
If the provider received no reimbursement for any portion of the amount billed, the provider can register and submit the claim to Office Ally, AMM’s approved clearinghouse, for reimbursement from AMM.

Acceptable Submission Formats:
  • Electronic ANSI 5010 837 professional claim transaction
  • Please note, paper claims are no longer accepted by PEMS. All claims submissions must be electronic.

Contracted Clearinghouse

Clearinghouse Name Website Support Phone Payer ID
Office Ally www.officeally.com (866) 575-4120 AMM20

* For direct encounter submissions to Physicians Emergency Medical Services (PEMS) or other clearinghouse payer ID numbers, please contact:

Rachel Miller rmiller@amm.cc (562) 766-2000 Ext. 231