2009 004 Ordinance - Laserfiche WebLink

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(h) DelincLuent Accounts. An account will be considered delinquent if there is an outstanding charge after 120 days if insurance was involved, or 60 days for self-pay patients if payment arrangements have not been made. A series of two collection letters will be sent. The first will be a payment plan letter and the last will be a Final Notice. The Billing Company will attempt to make final phone contact with the responsible party 10 days before turning it over to the Collection Agency. When payment cannot be made in full, responsible party will be encouraged to pay under arrangement. (i) The Use of Collection Agency. When an account cannot be collected, the Billing Company will forward an itemized statement and Account Authorization to Mayfield Village. Mayfield Village will review the accounts recommended to collection to assure compliance with policy as established by Mayfield Village Council prior to forwarding the account to a Collection Agency. The Following circumstances determine whether an account should or should not be sent to a collection Agency. 1. Cases that meet the criteria for financial hardship, or as determined forgivable by the Mayfield Village Director of Finance. 2. Return mail, disconnected phone, skipped town 3. Payment Agreement repeatedly not kept after 120 days (j) Account Adjustments. Accounts will not need to be authorized by Mayfield Village under the following circumstances. i. Small balance adjustments less than $4.00 ii. Bankruptcy iii. Contract Service Adjustments. Amounts considered above the allowed amounts for that contractual insurance. (UCR's) The Billing Company will bill patient for balances due after payment received by an insurance company. A listing of all written off accounts will be maintained by the Billing Company and will be sent monthly to the Mayfield Village Finance Department.