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For us, anytime you are going to the hospital for treatment that is NOT scheduled, it is considered a scene call. Anything else is an interfacility.

Same at both systems I've worked in. Emergency calls (call going to an emergency room from someplace not a hospital) didn't need a PCN regardless of response status. Dialysis and other regularly scheduled calls could use the same PCN for, I think, 60 days, and were handled by billing. All other calls required a PCN signed before transport.

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