Provide billing services for County EMS services, as required using a billing system that conforms to Generally Accepted Accounting Principles (GAAP). This includes maintaining appropriate accounting procedures that provide for reconciling all payments; bank deposits; receivables; billings; patient accounts; adjustments; and refunds between the Contractor’s billing system and County records. Maintain updated and current technology that will continuously provide the highest level of reimbursement and patient service possible. Contractor’s system must have the ability to customize billing forms; follow-up letters; statements; invoices; and notices per County requirements. Ensure that all required documentation, provider registration and agreements with payers (e.g. Medicare, Florida Medicaid, Commercial) are filed and maintained, and that the County is apprised of important changes to industry regulations and requirements. Have the ability to retrieve electronic Patient Care Records (ePCR) and related documentation from the County’s ePCR system, using a Contractor supplied mechanism. The County currently utilizes Digitech LLC for field data collection and ePCR creation. The Contractor must be capable of retrieving this information from any EMS field data collection system used by the County in the future. Additionally, Contractor shall have the ability to download payment and other necessary patient information from the County electronically. Forward an invoice and County Notice of Privacy Policy (NPP) to each patient transported by the County upon receipt of adequate information necessary to mail such information. Survey questionnaires or inserts mail to patients at the County’s request