318-22 Exhibit A-Coronis Health for Emergency Transport Third Party Billing - 2022.pdf

TOWNSHIP OF WEST ORANGE SPECIFICATIONS Township Responsibilities Once a vendor has been selected, a Township representative will be assigned by the WOFD. The Township shall supply to the vendor a completed ambulance incident report within 5 calendar days of the provision of ambulance services. The Township, in cooperation with the selected vendor, shall open the necessary bank account at a bank convenient to the vendor. This account shall be a "lock box" concept wherein all funds are credited to the Township and can only be withdrawn by the Township. Vendor Responsibilities 1. Vendor shall supply Township with patient Care forms that will be utilized by all Emergency Medical Service personnel. These forms shall comply with all Federal and State Statutes, regulations, and guidelines. 2. Vendor shall supply at no cost to Township, four (4) laptops with touch screen capabilities or tablets per Basic Life Support Unit, plus one spare. Each laptop or tablet shall be tested and certified to mil-standard 810g and IP65. The vehicle mounts must be State of New Jersey, Division of Health and Senior Services (to be referred to as DOHSS) approved for the life of the contract. Laptops provided by vendor need to be identical and equipped with an integrated air cards and with data service provided by vendor. Vendor shall provide all technical support necessary to ensure the laptops and ePCR are working and shall ensure within 24 hours a replacement laptop is provided if needed. a. Vendor will supply four (4) classroom training sessions annually to cover EMS report writing, laptop use, ePCR software usage and a chart/narrative writing annually while under contract. b. Vendor shall supply Township with Patient Care forms to be utilized by all EMS personnel in the event internet outages. 13