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10. Contractor shall have the ability to handle third party payer submission inquiries <br />regarding insurance claims. <br />11. Contractor shall have demonstrated experience and ability to act as the City's authorized <br />agent for liaising on the City's behalf with the Centers for Medicare Services and/or their <br />designated agents as well as associated state agencies. <br />12. Contractor shall have demonstrated experience and ability to act as the City's authorized <br />agent for liaising with the City's contract EMS provider (OCFA). <br />13. Contractor shall have demonstrated experience and ability to independently administer <br />the City's paramedic subscription program. <br />14. Contractor shall have the ability to cross reference patient files in various methods (i.e. <br />Last Name, Social Security Number, Service or Residence Address, Date of Birth, Date <br />of Service, etc.). <br />15. Contractor shall have the ability to receive patient care documentation on paper and <br />electronically. <br />16. Contractor shall research and follow-up on all accounts with inadequate billing <br />information to include: <br />#15078v4 <br />a. Contact OCFA for missing and/ or incomplete information, which may be found <br />in their records. <br />b. Contact receiving hospital for missing and/ or incomplete billing <br />information needed from the admitting/ registration records. <br />c. Contact patient family members or emergency contacts for information. <br />d. Refer to zip code/ street directories for incomplete/ missing address information. <br />e. Mail inquiries to the patient. <br />14 <br />25B-19 <br />