(1) Vendor needs to provide documentation retrieval services.– Documentation retrieval services for the purpose of collecting required third–party billing documentation and/or information from former patients.– Must triage the account on the day of receipt– Face–to–face interaction with patient via onsite appointment or home visit as needed.– Obtain the following documentation as needed:a. Accident Detail Formsb. Assignment of Benefitsc. Authorization for the Release of Medical Recordsd. Birth Certificatese. Claim Formsf. COBRA Applicationsg. Coordination of Benefitsh. Certificate of Credible Coveragei. Death Certificatesj. Marriage Certificatesk. Medicare IDsl. Medicare Secondary Payer Documentationsm. Medicare Common Working File Updatesn. Police Traffic Crash Reportso. Primary Care Physician Referral Formsp. Student Policy Updatesq. Subrogation Form(2) The contract period will be for three years.
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