(A) The procedures for billing and collection for services shall be prescribed by the Town Council and administered by the Clerk-Treasurer of the town.
(B) It shall be the responsibility of the patient receiving emergency medical ambulance services or the patient’s legal representative to satisfy the charges for the services rendered.
(C) All billing shall be sent to the patient, the patient’s legal representative or named responsible party for the services rendered, except where federal and/or state law dictates differently.
(D) The town is not a network provider for any private insurance companies and therefore does not accept assignment for payment. In cases where employers and or insurance carriers make only partial payments for services rendered, it shall be the responsibility of the patient or the patient’s legal representative to satisfy the remaining unpaid balance.
(E) The town is classified as a Medicare and Medicaid provider. As such, the town will file claims on behalf of any patient eligible for Medicare and/or Medicaid. The town cannot bill the patient for a balance greater than the co-payment, patient responsibility and/or spend-down established by Medicare and/or Medicaid. In the event that secondary and/or supplemental insurance is available, the town will request that the patient file a claim with any secondary and/or supplemental insurance for satisfaction of the remaining balance. Any co-payment, patient responsibility and/or spend-down balance not paid by the secondary and/or supplemental insurance will be the responsibility of the patient as permitted by Medicare and/or Medicaid.
(F) The town has not entered into any agreements with the entities to which the town provides paramedic assistance. Therefore, all “paramedic assists” for patients who are eligible for Medicare will be filed with Medicare for consideration of payment. Any denied claims from Medicare shall be the responsibility of the patient as permitted by Medicare.
(Ord. 10-2012, passed 6- -2012)