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EXI-1[I31'l' A <br />SCOPE C)I~ SI?RVICES <br />,~. GINERAI. PERFORNtANCI: REQl11REME~'\'l-S <br />Consultant sha11 provide the City of Santa Ana with E3illing and Collection services ~ftx the City's <br />Emergency Medical Services and Emergency Medical transport serv'sces as specified herein. <br />BlL.LING <br />(:'ansultant shall prepare all invoices and follow-up mailings. Initial invoicing tivith both F.:nglislt and <br />Spanish instructions will be an fIx 1 1 billings and will be placed in ertvclopes, sealed and mailed, <br />postage prepaid. Initial invoicing occurs within three (a}days of receipt of transport ticket. Initial <br />invoicing i~s fully itemized statement stating all procedures and supplies. Toll Free 8(30 telephone <br />number provided to patients. An initial telephone call will also be made at time of initial invoicing to <br />elicit anv insurance inf'orntation f'rc?rn the patient or patient's family. If Consultant receives no <br />answer an this call, Consultant will send and inquiry letter in addition to the initial invoice. The <br />standard bill schedule is as follotivs: <br />1. invoice in English and Spanish Immediately <br />2, Statement 30 days <br />3. Past I?ue 20 days <br />~. Final Demand 10 days <br />it1EI~1CARE, l~tE[~I-CAI, <br />Consultant shall electronically convey alI Medicare and Medi-Cal invoices to the appropriate payor. <br />All secondary insurance, coinsurance and co-payments for lvledicare~7vledi-Cal, shall be transferred <br />to the appropriate pay source and promptly billed to that. source; <br />Consultant shall be responsible for program updates ifthe requirements ofMc;dicare and Medi-Cal <br />fiscal intr~rmctiiarics change during the contract period. <br />1k'C)RICERS' GOMPI?igSA°I'lUti A?*it~ PRIVATE INSUR:~NCE <br />Consultant shall bill private insurance, supplemental insurance, secondary insurance and workers <br />compensation in accordance with appticable requirements. Electronic billing of insurance companies <br />is performed vv~herc appropriate. Any correspondence far additional information or follow up <br />necessary to s4cure insurance payment shall be performed by Consultant. <br />In the event that members of the C11'Y's Paramedic subscription program have third party insurance. <br />a diligent and timely effort shall be made by the CC7NSl3LTAN`I'to identify, blll, and pursue <br />payment from these sources. <br />Medi-C:a1. Medicare, and Insurance company billing schedules shall he as needed. <br />4. [3El.f(~t.JE~iv'~E' CL.AI1+.^IS <br />Consultant shall track accounts requiring special handling and i?allow-up. Consultant will lycrnor <br />Cit}~ requests for special handling of accow~ts including bt:t not limited to elderly, handicapped and <br />25D-9 <br />