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EVERETI'CITY COUNCIL AGENDA ITEM COVER SHEET i o <br /> PROJECT TITLE: <br /> Agreement for Ambulance Consent COUNCIL BILL# <br /> Transport Billing Services Action Originating Department <br /> between City of Everett and First Reading Contact Person J. Robinson <br /> Systems Design Northwest, Second Reading Phone Number8115 <br /> Inc• Third Reading FOR AGENDA OF March 23, 2005 <br /> Public Hearing <br /> Initialed by: <br /> Department Head Jji• <br /> CAA <br /> Council President �Luil <br /> Location Preceding Action Attachments Department(s) Approval <br /> Agreement for Legal <br /> Ambulance Transport <br /> Billing Services <br /> Amount Budgeted <br /> Expenditure Required $76,000 Account Number(s): 153-5200000410 <br /> Budget Remaining <br /> Additional Required $76,000 <br /> DETAILED SUMMARY STATEMENT: <br /> Subject to Ordinance 2792-04 the City of Everett Fire Department shall charge a fee for emergency <br /> medical transport services. Systems Design Northwest, Inc. was selected to provide billing services to <br /> the City of Everett. Their services would include,but not be limited to, entering patient medical data <br /> into their computer system,invoicing for transport services,tracking charges, payments, and <br /> adjustments with their computer system, managing insurance charges, mailing statements, and other <br /> necessary account management. <br /> RECOMMENDATION (Exact action requested of Council): <br /> Authorize the Mayor to sign the Agreement for Ambulance Transport Billing Services between the City of <br /> Everett and Systems Design Northwest, Inc. <br /> 60 <br />