J-5 Attachment Medical_Statement_for_Contracts (1) (1).pdf
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- Solicitation number
- 09152025
About this file
This Medical Statement for Contracts document outlines healthcare procedures for contract employees at a medical treatment facility, specifically within the United States Air Force's 87th Medical Group. The statement defines urgent healthcare as medical care necessary to save life or limb, with contract employees receiving initial treatment and then being transferred to a civilian medical facility. The contract employee is responsible for paying the full cost of treatment, with specific administrative procedures including preparing an AF Form 1127, establishing an Accounts Receivable Record, and potentially completing a statement of charges and letter of indebtedness if payment cannot be made at discharge.
The document also specifies that contract employees must provide timely notice to their medical insurance company and ensure adequate documentation for potential insurance payment. A notable exception is that contract employees treated for injuries during a natural disaster will not be charged for outpatient care. The procedures follow AFMAN 41-120, Medical Resource Management Operations, and involve documenting medical treatment through forms like SF 558 and forwarding records to Outpatient Records for temporary filing. The overall focus is on establishing clear financial responsibility and administrative tracking for medical treatment of non-government contract workers.
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Text version
Medical Statement for Contracts
Health Care: The medical treatment facility will provide urgent healthcare to contract employees (a contract employee is not a Government employee but is a contractor or an employee of a contractor) for injuries occurring while on duty. Urgent healthcare is defined as medical care authorized to the extent necessary to save life or limb and prevent undue pain and suffering. The contract employee will be transferred to a civilian medical facility as soon as the contract employee is stabilized. The cost of such treatment will be paid for, in full, within a reasonable period of time, by the contract employee and will not be borne by the 87th Medical Group, the United States Air Force or the Government. An AF Form 1127, Hospital Invoice/Receipt/Accounts Receivable Record, will be prepared to ensure collection and/or billing of charges. If a contract employee cannot pay for the treatment at the time of discharge, a statement of charges and a letter of indebtedness will be completed and billed to the contract employee for medical services rendered.
An Accounts Receivable Record will be established for each contract employee who receives medical care and is unable to pay at the time of discharge. Follow-up on Accounts Receivable will be completed in accordance with AFMAN 41-120, Medical Resource Management Operations. After an Accounts Receivable Record is established and billing for outpatient medical services has occurred, the SF 558, Medical Record - Emergency Care and Treatment, will be annotated with the date of billing and the voucher number. It will then be forwarded to Outpatient Records in order to be filed in a temporary folder. The contract employee shall ensure that he/she provides timely notice to his/her medical insurance company and that if the insurance company is to make payment, the insurance company has adequate information and documentation to make payment. A contract employee treated for injuries caused during a natural disaster is not charged for outpatient care.
File details come from the government source that posted it. Updated .