J-5 Medical Statement.pdf

PDF 79 KB Posted

Attached to
B2619 Dorm Construction Renovations
Solicitation number
FA448425R0003
Issued by

About this file

This document appears to be a Medical Statement that will be included in all solicitations, awards, task orders, delivery orders, and calls with performance on Joint Base McGuire-Dix-Lakehurst (JBMDL). The statement outlines the conditions under which the 87th Medical Treatment Facility (MTF) may provide urgent health care to contractor employees or agents for injuries occurring while on duty. It specifies that the contractor or the contractor's employee will be responsible for paying the full cost of such treatment within a reasonable period of time, and that billing and accounts receivable will be processed based on the services provided. The statement also indicates that if a contractor employee or agent cannot pay for the treatment at the time the bill is rendered, a statement of charges and a letter of indebtedness will be completed and billed to the contractor employee for the medical services rendered.

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Text version

The following statement will be placed in all solicitations/awards/TOs/DOs/calls with performance on JBMDL:

“The 87th Medical Treatment Facility (MTF) may provide urgent health care to any contractor employees or agents for injuries occurring while on duty. Urgent health care is defined as medical care authorized to the extent necessary to save life or limb and prevent undue pain and suffering. Contractor employees will be transferred to a civilian medical facility as soon as they are appropriately stabilized. The cost of such treatment will be paid for, in full, within a reasonable period of time (as determined with/by the Base Legal Office's assistance), by the contractor or the contractor's employee and will not be borne by the 87th MTF, the United States

Air Force or the government. Billing/accounts receivable is processed based on services provided, which is captured on an Air Force FORM 552 (Pre-Hospital Evaluation Patient Care

Report). If a contractor employee or agent cannot pay for the treatment at the time the bill is rendered, a statement of charges and a letter of indebtedness will be completed and billed to such contractor employee for medical services rendered. Contractor employee or agents shall ensure they provide timely notice to their medical insurance company and to the extent an insurance company is to make payment, provide the insurance company with adequate information and documentation necessary to make payment."

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