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

TOWNSHIP OF WEST ORANGE 6. The vendor shall deposit all payments received on behalf of the Township in an account designated by the Township within 48 hours of their receipt. a. The vendor shall provide to the Township Finance Department a copy of all deposit slips for patient payments within two working days of the deposit. TheTownship will accept either facsimile or by US Mail (to be postmarked within the two-day time period). On these deposit slips or on an accompanying statement, the vendor shall indicate the name of the original patient and the date the service was rendered. b. Vendor shall forward to the Township a monthly report listing all billings and collections. This report shall be due no later than 10 days after previous months end. Vendor shall supply a sample report for the Township’s approval. . 7. The vendor is to provide with each invoice, information on the collection process, on hardship waivers, and on the proper method of contacting the vendor to receive clarification of the billing process. The Township will prepare this information with the assistance of the selected vendor and the vendor shall be responsible for making copies of these documents for inclusion with their billing information. 8. The vendor shall provide either a local and or a toll-free telephone number to provide prompt responses to patients’ questions regarding services rendered and charges billed. Customer service personnel shall have quick access to patients’ records and qualified to perform these services. Vendor shall provide direct line access for the Township representatives. 9. The vendor shall be responsible for providing their own stationery, invoices, all office and normal expenses, postage, telephone cost, personnel expenses and standard operating expenses required to fulfill this contract. Vendor shall not identify the Township of West Orange or the Fire Department on its letterhead or any preprinted stationary. The only acceptable reference is in the description of services rendered by the Fire Department. 10. The vendor is to be paid a percentage of the collections received as determined in this proposal process. Consequently, it is in the vendor's best interest to expedite the

re Department. 10. The vendor is to be paid a percentage of the collections received as determined in this proposal process. Consequently, it is in the vendor's best interest to expedite the billing and collection process, and to take the necessary action to secure payment from those users who are capable of doing so. 11. The vendor is to respond with reasonably accurate information to all inquiries relating to the billing process, insurance coverage, and the hardship waiver process. All inquiries relating to the quality of the ambulance service provided are to be referred to the Fire Chief of the West Orange Fire Department. 12. The vendor shall negotiate Advanced Life Support (ALS) agreements for the Township subject to approval by the Township. 13. The vendor shall advise the Township Fire Department on any ambulance calls which they 15