2009 004 Ordinance - Laserfiche WebLink

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(d) CommercialInsurance. Mayfield Village will rely on the Billing Company to obtain insurance information for all transfers through electronic interface with the hospital. As a service to our patients, we will bill commercial companies directly. If the information is not received, the Billing Company will complete the process by contacting the necessary responsible parties. Once the information is obtained, the claim will be filed either electronically or United States Parcel Mail. (e) Motor Vehicle Accidents. If an Ambulance Claim is caused by a motor vehicle accident and the auto insurance is disputing the claim/and or the claim is in legal dispute, the Billing Company will obtain a letter of protection from the attorney. This will ensure that monies will be sent to Mayfield Village directly once the case is settled. If there is no attorney involved, the responsible party is required to make monthly payments on the account. (f) Medicare and Medicaid. The Billing Company shall attempt to collect all co-payments, deductibles, or balance remaining following payment received from Medicare or Medicaid, and otherwise owed to Mayfield Village for persons with Medicare, Medicaid, or Medicare HMO coverage as a source of health insurance. The Village agrees to accept the contractual amounts paid by Medicare, Medicaid, or Medicare HMO. The Billing Company will bill Medicare and/or Medicaid directly for the ambulance services incurred. Medicare and Medicaid recipients will not receive a bill and payment will be obtained directly from Medicare/Medicaid. Mayfield Village will accept assignment deemed by this payer. (g) Claim Follow Up Procedures. 30 days Initial submission of claims 45-60 days lst contact to insurance regarding status of claim 90 days 2°a contact to insurance regarding status of claim Patient becomes responsible for claim After 90 days regular contact to resolve problem will be made and/or patient will become responsible.