Nebraska-based. EMS-owned. Serving first responders nationwide.
First Response Billing Associates is a Nebraska-based billing company owned and operated by experienced, active Licensed EMS Professionals. We're not a generic billing house — we're first responders who built a billing company because we understand the problem firsthand.
As active EMS professionals ourselves, we understand the challenges departments face with billing and cost recovery. We know what it's like to run a call, complete the paperwork, and then watch revenue fall through the cracks because billing wasn't handled correctly or promptly.
We bring real-world field experience to every account we manage — not just billing knowledge, but a genuine understanding of how departments actually operate. That difference shows in our results.
Headquartered in Nebraska City, NE — proudly serving fire and EMS departments across the country.
Owned by active, licensed EMS professionals who understand your world from the inside.
We act as your authorized billing agent for fire cost recovery and EMS insurance billing — handling everything on your behalf.
Strict HIPAA-compliant data handling protects your department and your patients at every step.
Whether you're a one-station volunteer department or a large urban agency, FRBA has the expertise to handle your billing.
Volunteer Departments
We understand the unique challenges volunteer departments face — limited staff, tight budgets, and billing that often falls to the bottom of the list. We take that burden off your hands completely.
Paid Departments
Career departments with higher call volumes need a billing partner who can keep up. We handle high-volume accounts with accurate, timely claim submission and thorough follow-up.
Private Agencies
Private EMS and fire service providers have unique billing needs. We work with private agencies to maximize reimbursement across all payer types.
Fire Departments
Full fire mitigation billing and cost recovery — structure fires, MVCs, HAZMAT, extrications, and more. We bill insurance carriers and responsible parties on your behalf.
EMS & Ambulance Services
Complete EMS billing including Medicare, Medicaid, and commercial insurance claims for BLS and ALS transports, with ePCR integration.
Combination Fire/EMS Departments
Many departments provide both fire and EMS services. We handle both billing programs seamlessly, giving you one trusted partner for all your revenue recovery needs.
Not sure if we're the right fit?
Contact us for a free, no-obligation consultation. We'll review your current setup and tell you exactly how we can help.
Schedule a Free ConsultationWe specialize exclusively in fire and EMS billing — and we live it every day as active professionals in the field.
Our team are active licensed EMS professionals. We bring firsthand knowledge of how departments operate — not just billing theory.
Deep expertise in fire mitigation cost recovery, apparatus rate billing, EMS transport claims, and insurance coordination across all payer types.
We act as your authorized billing agent, handling all communication with insurance carriers, adjusters, and responsible parties on your behalf.
We only get paid when you get paid. No setup fees, no monthly minimums — our success is directly tied to yours.
Monthly reports keep your department fully informed on collections, outstanding balances, and account activity — no surprises.
You'll always reach a real person who knows your account. We're committed to responsive, personalized service for every client.
Every fire department and EMS agency we serve is part of our community. We take that seriously. Our commitment is to manage your billing with the same professionalism and dedication you bring to every call.
We stay current on billing regulations, insurance requirements, and compliance standards so your department doesn't have to. From first submission to final collection, we pursue every dollar your department has earned.
FRBA is built on trust, transparency, and results. We're honored to serve the departments who serve their communities — and we work every day to be worthy of that trust.
Mailing Address
PO Box 65
Nebraska City, NE 68410
Phone
402-209-3152Contact us today for a free consultation and learn how FRBA can help your department recover more revenue.
First Response Billing Associates is not a law firm and does not provide legal advice. Our services are limited to billing, cost recovery, and administrative support. For legal matters, please consult a licensed attorney.