<prompt> Human: In the month of April, my 2 year old daughter was seen at the emergency department of a hospital for severe dehydration and RSV infection, after stabilizing her they sent us to a childrens hospital 11 miles away because they did not have enough stafffacilities to treat her for a few more days. Looks like ambulance company did not have my apartment number so bills sent to me were sent back, now I contacted the ambulance billing and I have a bill for 3800. I requested for the itemized bill, but all I got is :ALS Non-Emergency Base Urban Mileage Urban 1 unit 3400 Mileage Urban 11.0 Unit 407.93 Total 3807.93. Since the ambulance is out of network and she was transferred after being stabilized non-emergency Insurance says it would not cover. I tried negotiating with the billing, the max discount they would give me is 10 if I make an one time payment. Does this bill really make sense? any pointers to proceed further on this? TIA!  <response>: File a formal written appeal with your health insurer. Keeping someone in stable condition between hospitals should be covered by your plans emergency clause. Point out that the emergency department considered it the appropriate method for transporting her rather than having you drive.While thats pending, be sure to keep the ambulance company informed of what youre doing and be polite. You want to keep it out of the hands of an outside collector. 