Why Choose Lowcountry Billing

Backed by decades of experience, we bring clarity, consistency, and trusted support to EMS billing — so your team can stay focused on the mission ahead.

Results that Scale

With over 30 years of proven success, we’ve helped EMS agencies, municipalities, and private providers across South Carolina improve collections and strengthen their revenue cycles. Our proprietary systems are built for performance — delivering the results you need without sacrificing the service you deserve.

Personalized Services

Family-owned and relationship-driven, we provide thoughtful, consistent support tailored to your agency’s unique needs. Our team gets to know you, stays responsive, and never relies on automation alone — because great service starts with real people who care about your success.

Integrity First

We do the right thing — even when it’s hard. Our compliance framework is rooted in transparency, accountability, and education. With a certified Ambulance Compliance Officer through the National Academy of Ambulance Compliance (NAAC), we stay current on changing regulations to help protect your agency and your reputation.

Who We Are

Built on relationships. Backed by Results.

For over 30 years, we've partnered with EMS providers who care deeply about their communities — and we care just as deeply about supporting them. At Lowcountry Billing Services, every relationship is personal, and every outcome matters.

Learn More About Us

Our Services

From claims to collections, Lowcountry Billing Services supports EMS agencies with proven systems, specialized knowledge, and a focus on measurable results.

35+

Years Experience

100+

Agencies Served

2.5x

Revenue Increase

24/7

Real-Time Access

100%

Driven by Relationships

Patient Billing

We mail patient statements five days a week and handle patient questions directly — ensuring clarity, compassion, and a professional billing experience your agency and community can trust.

Claims Processing

We submit accurate, well-documented claims with speed and precision — reducing denials, improving turnaround, and supporting your revenue cycle performance.

Regulatory Assistance

We help your agency stay compliant with ever-changing regulations by providing guidance, documentation support, and audit-ready processes that protect your operations.

Revenue Stream Reporting

Get full visibility into your financial performance with detailed reporting that highlights trends, opportunities, and areas for improvement — so you can plan with confidence.

Who We Serve

A Trusted Billing partner

Lowcountry Billing Services is proud to be the billing partner
of choice for dozens of EMS agencies across South Carolina.

Blog and Newsroom

Key Insights

5 Ways to Support Your Local EMS Team

EMS professionals show up for our communities every day — often in life’s hardest moments. In this post, we share five simple but meaningful ways to support the people behind the care, from saying thank you to advocating for the resources they need to serve well.

How SC Regulations Impact EMS Billing - and What You Can Do

From Medicaid rules to local oversight, South Carolina EMS agencies face unique billing challenges. Here’s how to navigate them — and why local expertise matters.

What EMS Agencies Should Expect from a Billing Partner

Choosing the right billing partner is critical. Here’s what every EMS agency should look for — transparency, compliance, responsiveness, and personalized service.