2024 15 ORDINANCE - Laserfiche WebLink

Home Browse Search

(2) Payment arrangements are to be made as agreed upon by the Billing Company. An attempt to receive the highest monthly payment will be made. A minimal payment of $20.00 will be accepted. (3) In case of death of client, the Billing Company will contact the Legal Representative of the Estate and pursue filing a claim for payment. (d) Commercial insurance. (1) Mayfield Village will rely on the Billing Company to obtain insurance information for - all transfers through electronic interface with the hospital or by letter or other communication to the patient including electronically in the event of a non -transport. (2) 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. Formatted: Justified (1) The Billing Company shall waive all co -payments, deductibles, or balance remaining- Formatted: Justified following payment received from Medicare or Medicaid, otherwise owed to Mayfield Village —J for persons with Medicare, Medicaid, or Medicare HMO coverage as a source of health insurance. (2) 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 1st contact to insurance regarding status of claim 90 days 2nd contact to insurance regarding status of claim. After 90 days regular contact to resolve problem will be made and/or patient will become responsible. (h) Delinquent Accounts. (1) 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 4870-2251-1828.v 1 Formatted: Justified Formatted: Line spacing: Exactly 9 pt