The vendor required to provide emergency medical billing services for required reports to include:
1. Billing report, which shall include the following:
• Account number
• Patient's name
• Insurance code
• Amount of billing
• Date of service
• Date of billing
• Status
2. Receipt report, which shall include the following:
• Account number
• Patient's name
• Insurance code
• Amount of payment
• Date of payment
• Status
3. Adjustment report, which shall include the following:
• Account number
• Patient's name
• Insurance code
• Adjustment code
• Amount of adjustment
• Status
4. Receivable report, which shall include the following:
• Account number
• Patient's name
• Service date
• Billing date
• Receipt date
• Adjustment amount
• Balance due
• Status.
- Budget: $850,000.00
- Contract Period/Term: 3 years
- Questions/Inquires Deadline: January 23, 2026
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