Exhibit_A.4_-_Current_Vendor_Invoice.pdf

This is a current vendor invoice document related to the County of Volusia's Emergency Medical Services (EMS) invoicing services contract in Florida. The invoice represents the existing billing structure and service delivery model that the County currently utilizes for its countywide ambulance and medical services operations. The document serves as a reference point for prospective bidders to understand the current invoicing processes, format, and volume of services being billed to Medicare and Medicaid, as well as the baseline performance metrics and billing patterns established under the incumbent vendor arrangement.

The invoice demonstrates the financial scope and operational complexity of the EMS invoicing function, including the types of billable services, claim volumes, and payment processing requirements that the successful contractor must manage. As an exhibit to the solicitation, this document provides critical context regarding current performance standards, data formatting requirements, and the scale of invoicing activity that bidders should anticipate managing under the new contract while maintaining full compliance with HIPAA and HITECH Act requirements for protected health information handling.