Specifications include, but are not limited to: 1. Claims will be filed with all primary and any supplemental or additional insurance companies for all patients transported by County of Roanoke Fire and Rescue (inclusive of volunteer rescue squads operating in Roanoke County as noted above) to a medical facility or other transport agency. 2. The patient will be responsible for the amount not covered by insurance based on current County of Roanoke collection polices for Ambulance Transport charges. 3. The contractor should maintain accounts and actively pursue collections for a period not to exceed 180 days (6 months) after the last collection action. No account will be held beyond this time frame unless the County of Roanoke grants written permission. After that time all documents and data on uncollectible accounts should be forwarded to the County of Roanoke with a request to write-off the account. If the contractor determines that an account is uncollectible prior to this 180-day cut-off he will return these types of accounts on a regular basis so the County of Roanoke can pursue other collection procedures. 4. The County of Roanoke will make a determination on a case-by-case basis of those accounts determined to be uncollectible. 5. The County of Roanoke shall review and approve all billing and collection statements as to language and form. The County of Roanoke shall require that all work on behalf of the County of Roanoke be conducted within the guidelines of the Fair Debt Collection Act. The County of Roanoke expects contractors to display a business-like demeanor in dealing with assigned accounts and will not tolerate debtor harassment, improper, or unreasonable conduct by the contractor in the billing or collection of the debt. If the County of Roanoke discovers that a customer has been unduly harassed or treated unfairly the County of Roanoke reserves the right to terminate this contract by written notice. 6. The County does balance bill patients, however patients are soft billed with no outstanding debt going to collection agencies. 7. Patients without insurance will be billed directly for the total amount due for services rendered. 8. All patients with insurance will be notified that a claim has been filed with their insurance company. Subsequent bills will be mailed to the patient advising of the amount paid by insurance and requesting the balance of the bill to be paid. 9. Patients will receive a bill each billing cycle (billing cycle not to exceed 45 days). If bill has not been paid in full within 120 days, the patient will be notified by letter (electronic e-mails in some cases) and/or telephone of the delinquent amount. 10. The contractor shall establish procedures and controls for receiving payments whether received in person, by mail, or electronic transfer. Such procedures and controls will be made available to the County of Roanoke.