2022/06/15 Council Agenda Packet

statements to all private patient accounts on behalf of the Provider; file any applicable appeals to insurance payers and/or Medicare and Medicaid on behalf of the patient if necessary to pursue the claim. Provider shall maintain a system to reconcile the number of EHRs sent to Consultant monthly. 1.3 The Consultant shall: receive at its facilities all payments (except those directly deposited into the Provider's account by insurances and Medicare/Medicaid via EFT), Explanations of Benefits, and Electronic Remittance Advices; account for all payments; deposit all funds directly into the Provider's "deposit only" account; forward deposit information to the Provider within 24 hours of such deposit; initiate and forward refund information and adjustments made on behalf of the patient's account to the Provider. The Consultant shall provide to the Provider a minimum of four (4) standard reports each month including: (a) Aged Accounts Receivable, (b) Month End Summary, (c) Annual Collection Statistics, and (d) Transaction Journal. These reports will include information related to amounts billed, amounts collected and uncollected, insurance and Medicare/Medicaid allowable and disallowable. For payments and remittances that are wholly electronic portal -based, Provider shall grant access to Consultant's representatives as needed for various payer portals. 1.4 The Consultant shall provide live customer service to Provider's patients via toll free phone numbers to answer patient billing questions Monday through Friday from 8:00am through 6:00 pm, Pacific Time (except Federal holidays). 1.5 The Consultant shall provide all labor, materials and equipment necessary to perform the work specified in the above Scope of Services. The Consultant is responsible for ensuring any subcontractor or vendor agencies are fully licensed and qualified to perform such work. For subcontracted payment processing and merchant services, Consultant is responsible for ensuring subcontractor or vendor maintains PCI compliance, and that the vendor or Consultant must be able to provide a PCI compliance certificate to Provider annually, at most. 1.6 Additional services: Additional services not specified in this Scope of Services (e.g. transferred accounts, non -routine auditing, targeted trainings, paper PCRs) may be added for an additional fee agreed upon in writing. 2. FEES, EXPENSES, & PAYMENT. Providers will receive a monthly invoice. For and in consideration of all services provided by the Consultant identified above, the Provider shall pay to the Consultant $22.00 per transport. In addition, the Provider will pay actual postage at current USPS postage rates for patient invoices, statements, and Certified Mail PCS requests that are needed to be mailed in order for the Consultant to perform the Scope of Services. Provider shall remit payment for services rendered under this Agreement to the Consultant within 30 days from receipt of Consultant's monthly invoice to the Provider. Progress invoices 3