EMS Billing

The Town of Westborough, Massachusetts is seeking proposals for ambulance billing services for its emergency medical services (EMS) operations. The Town responded to approximately 1,986 EMS calls and 1,100 transports last year using three ambulances operating at the Advanced Life Support/Paramedic level. Proposers must submit separate technical and price proposals by November 2, 2018, which will be evaluated on minimum qualifications including prior experience providing ambulance billing services to at least three Massachusetts municipalities, bonding requirements, and demonstrated understanding of the Town's billing philosophy to avoid forcing patients to pay if there is an inability to do so. The awarded contract will be for the responsible and responsive proposer submitting the most advantageous proposal, with the price proposal stating the fee for the billing service as a percentage of actual receipts, and the non-price technical proposal addressing details such as billing methods, application for provider numbers, and compliance with HIPAA and other regulatory requirements.

The Town has a preference for Massachusetts-based companies, but the award may not necessarily go to the low bidder. The selected contractor will be responsible for retrieving data from the current system and assuming responsibility for any outstanding bills at no additional charge to the Town. The procurement does not appear to have any set-aside designations or restrictions on the types of organizations that can respond, and there is no information provided on any incumbent vendors or current contractors, or existing infrastructure or technology that requires integration. The value of the contract is not specified.