Not to hijack here and forgive I'm not that familiar with medical med necc. forms but if the emt or paramedic doesn't have the ability to veto the transport because the patient doesn't fit the criteria for transport by ambulance. Your basically operating on their word that the patient fits the criteria. Wouldn't it cut down on fraud and unnecessary transports if the facility was now held responsible for the outstanding balance? They would not be so quick to sign their name if they the facility were being held financially responsible.