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WITTMAN ENTERPRISES, LLC HIPAA BUSINESS ASSOCIATE AGREEMENT -2009
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WITTMAN ENTERPRISES, LLC HIPAA BUSINESS ASSOCIATE AGREEMENT -2009
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Last modified
6/25/2014 10:41:22 AM
Creation date
8/7/2009 4:44:08 PM
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Contracts
Company Name
WITTMAN ENTERPRISES, LLC/HIPAA BUSINESS ASSOCIATE AGREEMENT
Contract #
A-2009-059
Agency
FIRE
Council Approval Date
6/1/2009
Expiration Date
6/30/2012
Insurance Exp Date
7/1/2013
Destruction Year
2017
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Wittman Enterprises, LLC <br />Customized Billing Forms and Follow -up Letters <br />Wittman Enterprises, LLC has customized the private bill schedule to reflect the City's needs. <br />The billing schedule works in conjunction with our billing program that tracks accounts <br />receivable and assigns them to a Customer Service Representative for making follow up calls. <br />The city's billing schedule is as follows: <br />Send Invoice Immediately <br />Send Statement 30 Days <br />Send Past Due Notice 45 Days <br />Send Final Request Notice 60 Days <br />Invoices contain fields for specialized messages and payment instructions. We fulfill any of the <br />City's specialized letter or message requirements. In addition to the above mailings, we provide <br />our Customer Service Representatives letters that are appropriate to each collection situation. As <br />part of follow -up, these letters can be scheduled to address a particular circumstance. This <br />extends that personal touch to the collection process. Our computer program has fields filled <br />with next of kin information, as well as employer data, so that reaching the patient or family <br />members for additional information is successful. <br />Payment Processing <br />The City's payments are what we call "Dead Cash "; they are received at the City where copies <br />are made and then forwarded to us. These payments are then posted to the proper account within <br />one day noting the source of the payment. All charges, payments, and adjustment applied to a <br />patient's account are retained as a permanent record of that patient's medical history. Full <br />payments posted that result in a zero balance will require no further action. When a partial <br />payment is made it will be posted and the balance transferred to the next appropriate pay source. <br />For example a Medicare payment will be posted with the appropriate write downs and the <br />patient's remaining 20% responsibility is then transferred for billing to the secondary insurance <br />or to private billing directly to the patient. Future correspondence and follow -up is completed by <br />a Customer Service Representative regardless of private or secondary insurance billing. <br />City of Santa Ana Fire Department <br />17 <br />
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