There seems to be a claim made here in the thread that in those areas where the local Hatzalah has already been billing insurance, Hatzalah has somehow been able to not bill the patient for the copay and/or deductible. This point needs to be clarified since this appears to be a contradiction to insurance contracts/regulations.
As far as the idea that in many cases Hatzalah won’t be able to collect insurance payments due to high deductibles on some patients plans or due to the need for a lot of paperwork for file insurance claims or due to the high cost of running a billing operation to deal with insurance, all these are effectively immaterial to the large amounts of insurance they will be successful in collecting, even if a certain percentage of claims are ultimately denied.