Item 17 - Agreement for Ambulance and Paramedic Billing Collection Services

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EXHIBIT B SCOPE OF OPTIONAL SERVICES A. City Paramedic Subscription Program City at the sole discretion of the City Manager and City Attorney shall have the option to transfer the promotion and administration of the City's Paramedic Subscription Program to Consultant under the following terms: 1. As a condition to participation in Consultant's optional City Paramedic Subscription Program and to ensure that City is compliant with Medicare guidelines on subscription fees, City shall impose a minimum paramedic services subscription fee of not less than $70.00. 2. City shall thereafter inform Consultant in writing of City's decision to participate in Consultant's optional City Paramedic Subscription Program within the time -frame parameters set forth in Section 9, below. 3. Upon receipt of City's written decision to participate in Optional City Paramedic Subscription Program, Consultant shall assist City in generating and formatting an initial mass mailer to solicit participation by residents of the City of Santa Ana in the paramedic services subscription program, to be mailed by the City. Consultant shall assist in generating and formatting a renewal paramedic services subscription program mailer and will assist in formatting that mailer for mass mailing. Basic mailer and renewal mailer shall include a multi -color, double - sided City Paramedic Subscription Program solicitation letter/application, and prepaid return envelope. Use of additional colors, inserts, or enclosures may be added at the direction of the City. Consultant's cost shall reflect increased service costs, materials, and postage. Consultant shall prepare a statement of additional costs per mailing piece for approval by City prior to incurring additional costs. 4. City shall generate the initial mass mailing list from residential billing accounts listed in the City's Municipal Utility Billing System database for the most current billing period applicable. The Mailing List shall be comprised of all residential paramedic billing accounts in the City's Municipal Utility Billing System. Consultant shall annually, not less than sixty (60) days prior to the expiration of each registered City Paramedic Subscription Program member, send a renewal mailer/renewal application to such subscriber; and collect all Paramedic Subscription Program applications and membership fees remitted. City agrees to pay the cost of mailing materials and the postage charges associated to mailing said renewal mailers/applications including prepaid return envelope. 5. Consultant shall thereafter, on an on -going basis send an initial paramedic services subscription program mailer to any non -subscription paramedic service recipient with hardship requests and/or private pay installment discussions occurring by telephone between the patient and Consultant's customer service agent. City agrees to pay the cost of mailing materials and the postage charges associated to mailing said mailers/applications including prepaid return envelope.