Specifications include, but are not limited to: Billing and accounts receivable collection activities including, without limitation, billing patients of City of Saratoga Springs for ambulance services rendered, making claims for reimbursement from Medicare, Medicaid, and other third-party payers, and if deemed necessary, referring claims to collection agencies and instituting legal proceedings, upon City of Saratoga Springs’s prior written direction, in connection with any bill or claim. City of Saratoga Springs requests pricing proposals for the following services: 1. To bill patients in the name and provider number of City of Saratoga Springs and on its behalf; 2. To collect accounts receivable resulting from such billing in the name of City of Saratoga Springs; 3. To collect and receive payments from insurance companies, Medicare, Medicaid, all other thirdparty payers and patients; 4. To take possession of and endorse in the name of City of Saratoga Springs, such payment intended for purpose of payment of an ambulance bill, any notes, checks, money orders, insurance payments, and other instruments received in payment of accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to City of Saratoga Springs. Authorized signers of this account are employees of City of Saratoga Springs. Contractor has no access to this bank account; 5. To assist City of Saratoga Springs and its retained legal counsel, with the institution of legal proceedings in the name of City of Saratoga Springs to collect any accounts and monies owed to City of Saratoga Springs, to enforce the rights of City of Saratoga Springs as creditors under any contract or in connection with the rendering of any service, and to contest adjustments and denials by governmental agencies (or its fiscal intermediaries) as third party payers; provided that the written consent of City of Saratoga Springs shall be obtained before any formal legal or administrative proceeding is commenced; and 6. Make adjustments for uncollectible accounts in a reasonable and consistent manner as approved by City of Saratoga Springs. All adjustments made for professional courtesies and other activities that do not generate a collectible fee shall be done in accordance with City of Saratoga Springs direction. Contractor will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both parties otherwise agree to in writing. 7. Within ten (10) days of the last business day of each month, Contractor will provide to City of Saratoga Springs a complete written report for the preceding calendar month which summarizes all billing produced, dollar amounts of accounts collected, dollar amounts outstanding and dollar amounts closed for that month.