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

C@)RONIS on HEALTH ao MEDICARE CLAIMS: All claims shall be transmitted in an electronic format acceptable to Medicare. Coronis Health shall forward the claims determined to be medically necessary or not necessary to Medicare with all required supporting documentation. The claims shall clearly indicate the determination status. Coronis Health has successfully billed over 140,000 Medicare claims last year alone. INSURANCE CLAIMS INCLUDING MEDICARE AND MEDICAID HMO’S: Coronis Health shall generate an insurance claim in either an invoice format (currently HCFA 1500 form) or electronic format upon receipt of patient approval and notice of the appropriate primary carrier. Coronis Health shall provide information as required by the insurance company's standard claim format which may include such information as delineated herein and appropriate medical determination and medical coding criteria. Coronis Health shall forward claims determined to be medically necessary or medically not necessary to the insurance carriers with all required supporting documentation. After verification of receipt of payment from primary insurance carrier, Coronis Health shall determine if there is a secondary carrier for the patient. If a second carrier exists, Coronis Health shall generate an insurance claim to the second carrier. In addition to providing all standard insurance company claim information, Coronis Health shall furnish proof of payment from the primary carrier. Proof of payment generally consists of statement from the insurance carrier or a facsimile check. The balance of any revenue, deductibles, or the co-payment fee due after receipt of payment by the insurance carrier are billed to the patient or written off according to client policies. Coronis Health shall not directly bill any patients that are known to be covered by Medicaid (except for Medicaid HMOs). AUTO ACCIDENT CLAIMS: Coronis Health makes every effort in obtaining auto insurance information by either contacting the patient or obtaining a police report. When Coronis Health bills an auto accident claim in which the patient is not the responsible party, the patient is obligated to file a claim under their own auto policy, or as PER specific state No-Fault guidelines. Coronis Health will follow up with these insurance companies or the patient in the event of delayed claim filing. 13