EMS Billing Services

The county is seeking a vendor to provide comprehensive emergency medical services billing, invoicing, collection, and accounting services. The county will perform daily quality assurance reviews and officer evaluations of all patient care reports prior to marking them reviewed for billing. The selected vendor must pull these reviewed transports from the ImageTrend system to identify and bill the appropriate guarantors. The vendor must provide authorized county personnel with online access to the billing system to view records and histories. All invoices must comply with the Fair Debt Collections Practice Act, and the vendor must verify insurance eligibility using commercial databases prior to claim submission. Electronic filing is required for primary Medicare, Medicaid, and commercial insurance claims, while paper invoices are permitted for other guarantors only when electronic filing is unavailable. All collected monies must go directly to the county. The vendor must process all claim denials within three business days of receipt and re-categorize claims appropriately after receiving primary payer payments. Daily, monthly, quarterly, and annual accounting reports must be provided in accordance with generally accepted accounting principles. Bidders must perform all work onsite within the United States. Proposals must be submitted digitally via email or online, and the county is currently looking for budget proposals to determine the cost. The county will award a contract for a period of one year, and bidders must submit all questions regarding this opportunity no later than June 19, 2026.