Specifications include, but are not limited to: Receipt & Verification of Billing Information • Receive EMS patient reports from the City and confirm with City staff of receipt of such reports. • Perform the following tasks within three (3) business days of the receipt of patient care reports: Review patient reports for completeness of billing information; make contact with patients, either via telephone or mailing, to obtain accurate billing information; gather billing information from other applicable resources, if necessary; and identify correct payers for patient accounts prior to billing. • Provide a mechanism for not sending bill to Arcadia patients if they are a member of the City’s Paramedic Membership Program (PMP). Every month, the City forwards its PMP list (in Excel format) to its current ambulance billing contractor. Membership to this program waives any out-of-pocket expenses from emergency medical transport services provided by the AFD or its authorized EMT providers. Presently, the City has about 2,700 PMP members. Billing – Private Party • Provide sufficient qualified personnel to generate over 2,700 billable transports annually and perform all related preparatory and follow-up tasks in a timely manner to secure payments. • Produce billing invoice within two (2) business days of the receipt of all necessary information and identification of correct account payers. • All mailings shall have the capability to be customized to meet the needs of the City. Customized mailings, including but not limited to information request form, invoice, past due notice, and final request notice, shall be reviewed and approved by the City to ensure that the City is properly represented to the public. • Provide a toll free 800- customer service telephone number with 24-hour voicemail system capability and make a good faith effort to respond to customers’ inquiries within one (1) business day. Provide reasonable accommodation for customers who require language translation assistance. Billing – Others • Bill Medicare, Medi-Cal, primary and secondary insurance sources, Worker’s Compensation insurers, Health Maintenance Organizations (HMO), Preferred Provider Organization (PPO) plans, third party liability insurers, benefit programs, and self-insurance programs within two (2) business days of the receipt of all necessary billing information. • Utilize electronic billing and data transmittal when deemed appropriate to expedite payments to the City Delinquent Accounts • Accounts that are 45 days delinquent shall be followed up by telephone and/or mailings for payment arrangements. • Coordinate with the Collection Agency on delinquent account collection efforts after all internal collection procedures have been exhausted. Payment Collection • Accept direct payments, collect payments made by billed parties, and deposit payments into the designated City bank accounts within one (1) business day of receipt. All receipts and funds are under exclusive control of the City. • Post payments to patient accounts within one (1) business day of receipt.