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tf ittnaur Litn•rprisrs, r_LC <br />Customised Billing For•m5 •rnd Follo~c-up 1 otters <br />`.t~itt•,nan f:nterpries. I.I.C has cusutmi~ed the pri~~ate hill schedule to rcl7ect the Cit~~'s needs. <br />`l~h~ hilfin, ~ehedule corks in conjunction ~~ith our billing program that tracka accounts <br />I'e~~'1A~lI`I.' and ~l~~l~.',Il> ~i~i71 iii (t LiP~tUI11~I ~~I~\ll'l' 12~~~I~CS~Ili:2U\~' ~i~I" Illa}~11.,,? ti)~I1+11 Ll~~ ~all~. <br />11~ ~~ii~', hillin~ ~~h~~3u1~ i, :I t~~~flu«~: <br />action Timing - - ~ <br />Ir711)1C'(~rClli'1 ! I <br />. _ - - -- -~.~ ------- _ _- --- E <br />_ _~_.-- <br />I ~~Ill `Iat~lllelll 31/ Ihrt ~ -_~ <br />fiend 1'al 1)ue ,'\ithee -{~ Uirt's <br />tien,i ~~inal Request \otice ±~(ll)crt., "--~---- - <br />ln~~itice~ cunutin fields t~ur specialized Iltr~sa~_~~s and i~a)ment instructions. ~~'~ I~ultill any c~i~thc <br />r:~ a _. <br />_ ~~ .., ..... .. 1'.L°~. ~ ~ :::I;'. 'lj, tr, :dlji:il`a .:~ tl:~ .:~~l-etc ..,.:ill'l::J. ~~. ~:(1\:dC <br />I <br />~~[:1 ~_ 'Ii.~.'~i.'~i- 1~,~`, i~~' I~~,!1-C~~Ilt~i(il~~ t~ li~i-j t~1;At Ire .1~_l. ~ ~,.~ <br />I ] Iy Mate t~~~ c;ich c~.rliecu~n sltuatlon. _l <br />part ~~~f l~uilo~~-uh. these letters can he scheduled to address a Iaarticular circunlstanee. l-his <br />estcnds that t~crsonal touch to the collection process. Our computer program has fields tilled <br />«ith nest ~,f kill inlin~nlaUon. as ~cc:'tl as enlplo~•~er data. so that reaching the patient its famil~~ <br />I11Cn:I?el'~ (~11' ;id~lltloilai 3nil)CInalluri Is ~lleCesj(11I, <br />f'.r~n1eI11 1~1'000'SSlri <br />he Cit.. ~s p ,'~l;lellti arc •,~.-hat ~~~c call "1)ca~i C'aall": they Ire recei~ ~~', at the ~'it~ ~~here copies <br />Llt I;T.Id~ a:ld ihcr. lUi'ltarded tU ll~. I he~c pa~~llll'ntS alY Ihe'Il poslCil tl1 the proper ~I~C(tUt11 ~cllhln <br />or,~' ~ia~ Il~~tin~~ tII, ;~~In~c~ oi~ the pa~nl~nt. .~11 ~har~~~s_ pa~nlent,. ~an~l adjusullrntappli~d to a <br />p:nic:,t-, ,I~cuunt are retained as a permanent record of that patient's medical histor~_ Tull <br />pa~n~ents potted that result in a zero hafanrc ~~ill require no further aetion. ~~'hcn a paI-tial <br />pa~mcnl is nwde it «ill be posted and the balance transferred w the nest appropriate pac source. <br />I'ur csample a Medicare pa~~ment ~~~ill he posted kith the appropriate ~~rite do~cns and the <br />p,Iticn;'~ ;~~mainin,,~ ~t~~';, rc;ponsibilit~ is thin transierred f~~r hillin~~ to the >cctmdar~ insuran~t <br />i~r to ~~ri~ate biliin~~ directl~~ to the patient. 1-uture correspondence and follel~~-up is ~~~nlplct~.i b~ <br />a C'ustonler Scr~-ice Representative regardless oCprit~alc ur secondar~~ insurance billing. <br />City ojS'artta ,a r+u Fire Daparrmrrr! <br />25C-16 <br />