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

TOWNSHIP OF WEST ORANGE 3. Vendor will be responsible for all costs for related to software such as EMScharts. If EMS charts becomes unable to provide ePCR services, it will be the vendors’ responsibility to supply another ePCR software package that the Township approves at no additional cost. 4. Vendor shall review Patient Care Forms within 5 working days of receipt. After review, the forms are either processed for billing the appropriate insurance provider or returned to WOFD for further information or clarification. The vendor shall provide the WOFD with a monthly quality assurance report indicating the status and quality of the ePCRs being completed by WOFD crews. a. The initial billing shall be sent to the insurance provider, with an advice copy to the patient. If the insurance provider name or address is not obtained at the time of the service, vendor shall obtain this information by any means necessary, other than the patient. The vendor is responsible for maintaining accurate information concerning the claim processing address and procedures for all insurance providers licensed to do business in New Jersey. The vendor will not invoice a ‘resident’ patient who does not have coverage” since we do bill non-residents without coverage. 5. The Township shall retain the rights to all records and reports that are utilized and generated in connection with the execution of this contract. a. No records and/or reports shall be released without the prior written approval of the Business Administrator. b. All records shall be maintained in accordance with the prescribed N.J. State Statutes pertaining to Record Retention and for a period not less than six (6) years. No records shall be disposed of, without first obtaining approvals from the Township. c. Vendor shall be required to provide the following services to the Township on a monthly basis: d. All pertinent records shall be sent to the Township monthly e. This service shall include the removal of staples, scanning and shredding of all documents after the prescribed time period as stipulated in the N.J. State Statues pertaining to

ice shall include the removal of staples, scanning and shredding of all documents after the prescribed time period as stipulated in the N.J. State Statues pertaining to Record Retention. 14