Laserfiche WebLink
<br />EXHIBI'T' A <br /> <br />SCOPE OF SERVICES <br /> <br />A. GENERAL PERFORMANCE REQUIREMENTS <br /> <br />Consultant shall provide the City of Santa Ana with Billing and Collection services for the City's <br />Emergency Medical Services and Emergency Medical transport services <IS specified herein. <br /> <br />I. BILLING <br /> <br />Consultant shall prepare all invoices and follow-up mailings. Initial invoicing with both English and <br />Spanish instructions will be on 8x II billings and will be placed in envelopes, sealed and mailed, <br />postage prepaid. Initial invoicing occurs within three (3) days of receipt of transport ticket. Initial <br />invoicing is fi.llly itemized statement stating all procedllres and supplies. Toll Free 800 telephone <br />number provided to patients. An initial telephone call will also be made at time of initial invoicing to <br />elicit any insurance information from the patient or patient's family. If Consultant receives no <br />answer on this call, Consultant will send and inquiry letter in addition to the initial invoice, The <br />standard bill schedule is as follo\,vs: <br /> <br />I, Invoice in English and Spanish <br />2, Statement <br />3. Past Due <br />4. Final Demand <br /> <br />Immediately <br />30 days <br />20 days <br />10 days <br /> <br />2. MEDICARE, MEDI-CAL <br /> <br />Consultant shall electronically convey all Medicare and Medi-Cal invoices to the appropriate payor. <br />All secondary inslITance. coinsurance and co-payments for MedicareiMedi-Cal. shall be transferred <br />to the appropriate pay source and promptly billed to that source <br /> <br />Consultant shall be responsible for program updates if the requirements of Medicare and Medi-Cal <br />fiscal intemlediaries change during the contract period. <br /> <br />3, WORKERS' COMPENSATION AND PRIVATE INSURANCE <br /> <br />Consultant shall bill private insurance, supplemental insurance, secondary insurance and workers <br />compensation in accordance with applicable requirements. Electronic billing of insurance companies <br />is performed where appropriate. Any correspondence for additional information or follow up <br />necessary to secure insurance payment shall be performed by Consultant. <br /> <br />In the event that members orthe CITY's Paramedic subscription program have third party insurance, <br />a diligent and timely eflort shall be made by the CONSULTANT to identify. bill. and pursue <br />payment from these sources. <br /> <br />Medi-Cal. Medicare, and Insurance company billing schedules shall be as needed. <br /> <br />4. DELINQUENT CLAIMS <br /> <br />Consultant shall track accounts requiring special handling and follow-up. Consultant will honor <br />City requests ftlr special handling of accounts including but not limited to elderly. handicapped and <br /> <br />250-9 <br />