On 453.10 R it is quite common to hear Boston EMS giving minor calls
to private ambulance companies. Maybe once an hour. Maybe 6 to 10
times a day. McCalls Ambulance takes many of the calls.

The Boston EMS dispatcher will say "Do we have a private that can take
a call in (neighborhood)?". And the private provider will answer and
say "we have a unit at XXX":. The Boston dispatcher will say "that is
good - the call is at XXX and the problem is YYY"

It is simple and straight forward. I have never heard 2 private
companies vying for the same call. And there usually does seem to be a
private ambulance available when needed.

Sometimes Boston EMS will transmit a tone before they start looking
for a private ambulance.

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