U.S. Emergency Medical Services Billing Software Market Size, Share & Trends Analysis Report By Component (In-house, Outsourced), By Type (Land Ambulance Services, Air Ambulance Services, Water Ambulance Services), And Segment Forecasts, 2025 - 2033

U.S. Emergency Medical Services Billing Software Market Summary

And the rising number of ambulance service providers are some of the major factors expected to facilitate market growth over the forecast period. The healthcare industry in the U.S. is currently undergoing significant changes due to technological advancements and digitization. This has led to the sector becoming more data-intensive, resulting in the adoption of innovative solutions to advance healthcare development. For instance, in May 2025, eServices Payment Technology and Quick Med Claims enhanced the emergency medical services (EMS) billing experience in the U.S by launching a more streamlined, patient-friendly payment and communication solution.

"At eServices Payment Technology, we're dedicated to simplifying the payment experience for patients, billing staff and our EMS professionals. This expanded partnership with QMC is another step forward in making healthcare payments smoother and smarter for everyone involved.”

- Jesse Siefert, CEO, eServices Payment Technology

The increasing demand for software solutions is driven by higher healthcare spending and government initiatives to efficiently maintain digital health records. The U.S. government has actively promoted the efficient functioning of digital health records, particularly in integrating EMS billing software. For instance, an article titled “Using EMS Data” published by the ems.gov in February 2025, emphasizes how standardized data collection through NEMSIS (National Emergency Medical Services Information System), improves emergency medical services in the U.S. It supports better patient care, provider safety, and system efficiency while aiding research, policy-making, and nationwide performance tracking. Such initiatives aim to reduce billing errors and improve the accuracy of medical billing, thereby enhancing overall healthcare delivery. Moreover, as healthcare becomes more data-intensive, the need for innovative software solutions has grown, propelled by government policies encouraging digitization in the healthcare sector.

Furthermore, the demand for cloud-based EMS billing software is increasing as software users seek flexible, easy-to-use solutions that can be accessed remotely from any location at any moment. Many vendors, including Zoll Data Systems, AngleTrack LLC, MP Cloud Technologies, ESO, and Digitech, are offering cloud deployment options for their EMS billing software products to meet this growing need. Cloud-based solutions are becoming popular due to their affordability, scalability, flexibility, and ease of use. They are particularly attractive to small and medium-sized organizations looking to optimize their billing payment processes. This shift to cloud-based EMS billing software is driven by the desire to leverage the benefits of affordability, scalability, flexibility, and ease of use, which is expected to drive the market's growth.

Market Concentration & Characteristics

The chart below illustrates the relationship between market concentration, characteristics, and participants. The x-axis represents the level of market concentration, ranging from low to high. The y-axis represents various market characteristics, including industry competition, degree of innovation, level of M&A activities, impact of regulations, product expansion, and geographic expansion. For instance, the market is highly competitive, with the presence of many small to mid-sized companies in the market. The degree of innovation is high, and the level of M&A activities is also high. The impact of regulations on the market is medium, and the geographic expansion of the market is low.

Technology-driven solutions are improving the efficiency and accuracy of EMS billing records. Modern EMS billing software incorporates automation to streamline processes such as claims submission and tracking. This reduces manual errors and administrative burdens, enhancing operational efficiency. Furthermore, the ability to integrate with electronic health records (EHRs) and other healthcare systems is crucial for accurate billing and compliance.

The impact of regulations on the use of EMS billing software in the U.S. is significant, influencing both operational efficiency and compliance within the healthcare sector. Key regulations include the Health Insurance Portability and Accountability Act (HIPAA), Medicare and Medicaid guidelines, and the No Surprises Act, among others. No Surprises Act: regulation, effective from January 2022, aims to protect patients from unexpected out-of-network charges. EMS billing software must be capable of providing transparent cost estimates and obtaining patient consent for out-of-network services, which enhances compliance and patient trust. These regulations shape the development and functionality of EMS billing software, which is designed to streamline billing processes while ensuring adherence to legal requirements.

EMS billing software partnerships highlight significant advancements aimed at enhancing revenue cycles for emergency medical services (EMS) organizations in the U.S. For instance, in January 2024, eServices Payment Technology has partnered with AIM EMS Software & Services. This partnership aims to integrate their respective strengths to streamline revenue cycles for EMS organizations. This partnership is expected to enhance the efficiency and effectiveness of billing processes for their mutual clients, ultimately improving patient service and operational performance.

Major players in the EMS billing software market are engaging in strategic partnerships and product developments to enhance their service offerings and expand their geographical reach. Companies like MP Cloud Technologies/MTech are actively expanding their geographical presence. For instance, in November 2021, MP Cloud Technologies/EMTech announced plans to open a division in Spartanburg County, Columbia, to better serve EMS providers across the U.S. Such strategic moves are indicative of the competitive landscape and the ongoing efforts to enhance service delivery.

Case Study Insights: Mohawk Ambulance Optimizes EMS Billing with ZOLL RescueNet

Mohawk Ambulance Service, the largest privately owned EMS provider in Upstate New York, handles approximately 56,000 emergency transports annually. The organization faced challenges ensuring accurate billing and timely reimbursement with a patient mix that often includes unidentified individuals in critical condition. Partnering with ZOLL Data Systems, Mohawk implemented RescueNet Billing Pro to address claim inefficiencies and optimize revenue cycle management.

Component Insights

The outsourced segment dominated the market, accounting for the largest revenue share of 54.60% in 2024, and is expected to witness the fastest growth over the forecast period. This segment's growth is attributed to the cost-effectiveness of outsourcing compared to developing in-house solutions. Outsourced services allow EMS agencies to focus on patient care while leveraging advanced billing technologies.

Furthermore, the availability of integrated and advanced billing software has made the billing process more efficient for service providers. Moreover, the presence of upcoming software developers allows the EMS providers to select EMS billing software that best suits their requirements. Hence, the outsourced segment is anticipated to witness significant growth over the forecast period.

However, the in-house billing segment is expected to gain traction as healthcare providers seek greater authority and effectiveness in managing their financial operations. This shift allows organizations to streamline their billing processes and maintain oversight, which can lead to improved efficiency and reduced operational costs. In addition, recent strategic partnerships and mergers are also shaping the landscape of EMS billing software. For instance, in April 2024, ESO acquired Logis Solutions, a global provider of logistics and billing software serving emergency medical services (EMS), computer-aided dispatch (CAD), emergency communications, fire departments, and hospitals. ESO and Logis are collaborating to integrate data and workflows from dispatch, call taking, and billing across the emergency response continuum.

Type Insights

The land ambulance services segment dominated the market with a revenue share of 49.21% in 2024. Many ambulance services are transitioning to cloud-based EMS billing software that offers real-time data access, automated workflows, and seamless integration with electronic patient care reporting (ePCR) systems. This allows for faster submission of claims, improved cash flow, and reduced administrative overhead.

Private ambulance services agencies, such as American Medical Response, which has a presence across the nation with more than 8,000 land ambulances and 123 fixed-wing aircraft, are gaining a monopoly in the market.However, these agencies face challenges in managing the billing process and recovering claims from privately insured or Medicaid patients. Billing software specially developed for EMS providers and billing companies is significantly improving the collection, leading to an increase in revenue for the providers.

The air ambulance services segment is expected to witness growth at the fastest CAGR from 2025 to 2033. The use of air ambulances for transporting patients with health issues is on the rise. The growing number of accidents and health emergencies like heart attacks and strokes is driving the demand for air ambulance services. Partnerships between governments and helicopter emergency medical services (HEMS) providers are also contributing to the market's growth.

Key U.S. Emergency Medical Services Billing Software Insights

The market for U.S. emergency medical services billing software is highly competitive, with small to mid-sized companies competing with global players for market share. As the healthcare industry becomes more advanced and digitalized, the demand for this software is on the rise. This presents a great opportunity for companies to establish their presence in the market and secure a significant share. The emerging players in the market include AngelTrack LLC, MP Cloud Technologies, and ImageTrend.

Recent Developments

• In January 2025, in the U.S., Life Flight Network selected MP Cloud Technologies' AdvanceClaim software to improve billing and claims efficiency, aiming to streamline operations and enhance revenue cycle performance.

“Life Flight Network is excited to partner with MP Cloud Solutions to revolutionize our billing process through their AdvanceClaim software. This partnership will streamline operations, allowing patients to engage with billing electronically, improving accessibility and efficiency. Additionally, MP Cloud’s innovative No Surprises Act (NSA)-specific reporting capabilities reflect their forward-thinking leadership in the billing software market, ensuring Life Flight Network remains at the forefront of compliance and customer service.”

- Adam Osborne, Chief Financial Office, Life Flight Network

• In October 2024, AIM System enhanced its EMS billing software in the U.S. with AIM Intelligence, introducing automation and predictive features designed to streamline claim handling, optimize reimbursement, reduce manual work, and boost billing accuracy and efficiency.

• In April 2024, ESO announced the acquisition of Logis Solutions in the U.S. to become the first provider to link data across the entire healthcare continuum, enhancing billing in emergency medical services and integrated care delivery.

"ESO and Logis will deliver a comprehensive set of solutions aimed at improving community health and safety through the power of data. This partnership will scale our mission impact more fully by integrating our products, data and workflows, as well as leverage machine learning and AI to drive further innovation. Our goal is to improve how we serve our customers and use data from both Logis and ESO to enable better outcomes and greater value for all stakeholders in community health and safety."

-Eric Beck, President and CEO of ESO

• In March 2023, AIM EMS Software & Services achieved certification for NEMSIS v3.5 compliance. This update delivers more precise reporting, streamlined data entry, flexible state-level controls, and enhanced interoperability with hospitals and registries, supporting improved EMS patient care in the U.S.

U.S. Emergency Medical Services Billing Software Market Report Scope

U.S. Emergency Medical Services Billing Software Market Report Segmentation

This report forecasts revenue growth at country levels and provides an analysis on the latest industry trends and opportunities in each of the sub-segments from 2021 to 2033. For this study, Grand View Research has segmented the U.S. emergency medical services billing software market report based on component and type:

• Component Outlook (Revenue, USD Million, 2021 - 2033)

  • In-house

  • Outsourced

• Type Outlook (Revenue, USD Million, 2021 - 2033)

  • Land Ambulance Services

  • Air Ambulance Services

  • Water Ambulance Services