Specifications include, but are not limited to: 1. The successful Offeror shall develop and facilitate continued provider enrollment in approved preferred provider programs including Medicaid and Medicare. 2. The successful Offeror shall develop and implement procedures, systems, and accountability for: a. Receiving and managing incident data from the provider via an automatic interface between the department’s ePCR software to extract data needed for processing claims b. Establishing and managing accounts for and providing timely insurance billing and customer invoicing to patients treated and/or transported by CUFD-EMS. c. Tracking and managing University student accounts for internal recovery by university student receivables when indicated. d. Receiving and managing revenue from the provider’s accounts. e. Documenting and reporting to the provider account status, activity, and revenue monthly, quarterly, and annually. Reports should include monthly aging, individual patient account activity, and revenue received. f. Reports are preferred to be user-friendly and easily manipulated by the provider (i.e., Excel, CSV spreadsheets). 3. The successful Offeror will work closely with the provider to maintain all accounts in a current status. 4. The successful Offeror will receive approval before moving accounts to collection status and shall identify their collection practices or if collections are subcontracted to a third party. 5. The successful Offeror shall provide coordinated training to the provider’s staff on field data collection and documentation to increase efficiency and within the provider’s documentation standards.
