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have not been made. The Billing Company will attempt to make final phone contact with the <br />responsible party 10 days before turning it over to Mayfield Village for an individualized <br />review and determination of write off as non -collectible or referral to a collection agency. <br />(2) When payment cannot be made in full, responsible party will be encouraged to pay <br />under arrangement. <br />(i) The Use of Collection Agency. <br />(1) When an account cannot be collected, the Billing Company will forward an itemized- 'Formatted: Justified <br />statement and Account Authorization to Mayfield Village. Mayfield Village will review the <br />accounts recommended to collection to assure compliance with policy as established by <br />Mayfield Village Council prior to forwarding the account to a Collection Agency. <br />(2) The Following circumstances determine whether an account should or should not <br />be sent to a collection Agency. <br />A. Cases that meet the criteria for financial hardship, or as determined forgivable by <br />the Mayfield Village Director of Finance. <br />B. Return mail, disconnected phone, skipped town. <br />C. Payment Agreement repeatedly not kept after 120 days <br />(j) Account Adjustments. <br />(1) Accounts will not need to be authorized by Mayfield Village under the following <br />circumstances. <br />A. Small balance adjustments less than $4.00. <br />B. Bankruptcy. <br />C. Contract Service Adjustments. Amounts considered above the allowed amounts for <br />that contractual insurance. (UCR's) The Billing Company will bill patient for balances due <br />after payment received by an insurance company. <br />(2) A listing of all written off accounts will be maintained by the Billing Company and- Formatted: Justified <br />will be sent monthly to the Mayfield Village Finance Department. <br />If a payment is received for a written off account, the monies received will be recharged to <br />the accounts and balanced. <br />A. Cases that meet the criteria for financial hardship. Individual must submit proof that <br />income levels fall below current HUD requirements for low income. <br />(k) Services Rendered to Prisoners. All persons receiving Mayfield Village Fire <br />Department EMS services while confined as a prisoner in jail or otherwise confined 44te <br />Village F Gates Mills jail shall be responsible for payment of appropriate charges, as <br />referenced in Section 1523.01, in accordance with billing procedures-P^' r g Ge ^^S (a) <br />through (ji) hereinabove. Unpaid charges will be billed to the arresting Municipality. All <br />Formatted: Line spacing: Exactly 9 pt <br />4870-2251-1828. v 1 <br />