Lewis County Fire District 5 utilizes a third-party billing agent for medical transport billing.  The company is called Systems Design and they do the medical coding and billing to insurance companies and send invoices to the patients we transport. 

If you have a question about a bill that you have received, you can contact Systems Design Directly at:

                Systems Design EMS

                PO Box 3510

                Silverdale, WA  98383

                Patient Services can be reached at (360)394-7020 or (800)585-5242

To access online payment, upload insurance information, or apply for financial assistance, please visit the Systems Design website at