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25F - AGMT - PARAMEDIC BILLING SRVS
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25F - AGMT - PARAMEDIC BILLING SRVS
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Last modified
6/12/2014 3:54:27 PM
Creation date
6/12/2014 3:01:41 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Finance & Management Services
Item #
25F
Date
6/17/2014
Destruction Year
2019
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EXHIBIT A <br />SCOPE OF SERVICES <br />A. GENERAL PERFORMANCE REQUIREMENTS <br />Consultant shall provide the City of Santa Ana with Billing and Collection services for the City's <br />Emergency Medical Services (EMS) and Emergency Medical Transport Services (EMTS) as <br />specified herein. <br />1. BILLING <br />Consultant shall prepare all invoices and follow -up mailings. Initial invoicing with both English and <br />Spanish instructions will be on 8x11 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 fully itemized statement stating all procedures 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 follows: <br />1. Invoice in English and Spanish Immediately <br />2. Statement 30 days <br />3. Past Due 20 days <br />4. Final Demand 10 days <br />2. MEDICARE, MEDI -CAL <br />Consultant shall electronically convey all Medicare and Medi -Cal invoices to the appropriate payor. <br />All secondary insurance, coinsurance and co- payments for Medicare/Medi -Cal, shall be transferred <br />to the appropriate pay source and promptly billed to that source <br />Consultant shall be responsible for program updates if the requirements of Medicare and Medi -Cal <br />fiscal intermediaries change during the contract period. <br />3. WORKERS' COMPENSATION AND PRIVATE INSURANCE <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 />In the event that members of the City's Paramedic Subscription Program have third party insurance, <br />a diligent and timely effort shall be made by the Consultant to identify, bill, and pursue payment <br />from these sources. <br />Medi -Cal, Medicare, and Insurance company billing schedules shall be as needed. <br />25F -12 <br />
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