6.1. Objective Pinellas County Safety & Emergency Services Department’s Financial Services Division is seeking an ambulance services billing software to replace existing software to improve our ability to efficiently submit claims to the following entities; Commercial Insurance - 13.78%, Medicaid - 11.86%, Medicare - 59.73%, Customer Invoice - 9.77% while using both mail and electronic delivery and maintaining HIPAA compliance. 6.2. REQUIREMENTS System Requirements to Include but not limited to: • SaaS solution that includes regular software maintenance and updates. • System data and communications must be secured according to Pinellas County standards (ref: Security and Performance Standards section). • Secure data transfer capability for scheduled backup or real-time duplication to County servers. o Operation continuity solution for periods of low connectivity or communication issues with the application servers or data. • Details regarding disaster recovery and related uptime Service Level Agreement (SLA) options should be provided. o Include available alternatives for standard vs. high availability and what configurations and cost may be associated with each. • Details regarding maintenance windows and other scheduled downtime should be provided. • Ability to integrate (include description of methodology) with 3rd party vendors who process specified claims on our behalf. • Integration with other vendor solutions as described in this document (ref: Technical or Functional Requirements section). • Integration with the clearinghouse of our choice (Currently Waystar). • System security and access controls that include configurable role-based profiles. • Customizable dashboards, alerts, and notifications for managing the claim lifecycle. • General consolidation reports for each functional group. o Accounts Receivable - Billing Services – Compliance - Administration • Automated data validation components (spell check, date format, etc.). • Ability to create custom reporting using third party tools.
