Ambulance

Ground Transportation

Emergent

Emergency ground ambulance services do not require authorization. Reimbursement is dependent upon the final liability determination of the claim.

Non-Emergent

A provider must obtain prior authorization for non-emergent ground transportation services, including ambulance, stretcher van, taxi, etc.  Contact WSI at 800-777-5033 or 701-328-3800 to request prior authorization.

Air Transportation

Emergent

Emergency air ambulance services do not require authorization. Reimbursement is dependent upon the final liability determination of the claim.

Non-Emergent

A provider must obtain prior authorization for non-emergent air transportation services.  To facility safe and cost effective air transportation for injured workers, WSI has established Memorandums of Understanding (MOUs) with several air transportation companies.  Companies with current MOUs include Bismarck Air Medical, Trinity Health, and TravelAire.

Submitting a Prior Authorization Request for Non-Emergent Air Ambulance Services

For more information about services requiring prior authorization, contact Utilization Review at 701-328-5990 or 888-777-5871