Questions regarding  ambulance billing and  payments,  should be directed to our billing agency -  Systems Design at 1-800-238-9398 or you can email them at Info@SDWems.com.  You can also access our portal at   www.emspatient.com\snohomishfire to make a payment  or provide insurance information.   If Systems Design is unable to answer your questions,  please contact our Records Specialist, Christine Heike, at 360-568-2141, extension (1047).