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Resolution 384-2013RESOLUTION NO. 384 -2013 Emergency Services A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA AUTHORIZING THE WRITE -OFF OF TRAUMA AIR AMBULANCE RESIDENT WAIVER ACCOUNTS RECEIVABLE WHEREAS, Monroe County Fire Rescue Services provides trauma air ambulance service; and WHEREAS, on May 20, 2009 the Board approved Resolution No. 152 -2009 adopting a fee waiver policy and process for trauma star air ambulance billing or trauma scene and critical care interfacility flights for qualifying Monroe County residents for flights that occurred after November, 4 2008; and WHEREAS, the attached accounts have applied for the resident waiver; and WHEREAS, the Board of County Commissioners of Monroe County contracts with Advanced Data Processing, Inc. (ADPI) for trauma air Ambulance Billing and Related Professional Services; and WHEREAS, a report was provided by Advanced Data Processing, Inc. on these accounts and it was determined that all third party payments have been received and applied to their accounts, that the balances constituted the amount remains after all third party payments had been credited to the account; and that residents submitted sufficient documentation to qualify for the resident trauma air ambulance waiver; and WHEREAS, it is desired that these resident waiver trauma air ambulance service accounts receivable be written off at this time; NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA: Receivables for resident waiver air ambulance service 15 accounts listed on attached Exhibit A in the amount of $114,799.77 shall be deleted from the Fine and Forfeiture Fund Account 141- 115002. PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida, at a regular meeting of said Board held on the 20 day of November, 2013. (SEAL) MONROE COUNTY ATTORNEY A RO D A T F RM: YNTHIA L. ALL ASSISTANT COUNTY ATTORNEY Date 02 vi 3 BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FL Y ( Mayor / Chairperson Mayor Sylvia Murphy Yes Commissioner Heather Carruthers Yes Mayor Pro Tem Danny Kolhage Yes Commissioner George Neugent Commissioner David Rice Yes £0 :8 WJ 030 £f OZ 1�1 03 3 d03 0?7i3 Exhibit A Monroe County Fire Rescue Trauma Star Resident Fee Waiver FY 2013 Account Receivables Write Off Account # Date of Incident Amount Pending Waiver when originally received Amount Paid by Insurance Insurance Contractual Adjustment (Medicare/ Medicaid or their HMOs Final Balance to Write -Off 1 1 9083214 12/19/11 $ 12,860.00 $ 50.00 $ - $ 12,810.00 2 9739807 03/10/12 $ 10,220.00 $ 1,732.80 $ - $ 8,487.20 3 10239955 03/27/12 $ 16,140.00 $ 14,140.00 $ - $ 2,000.00 4 10436624 04/04/12 $ 15,180.00 $ 11,385.00 $ 1,427.00 $ 2,368.00 5 10371147 04/10/12 $ 12,140.00 $ - $ - $ 12,140.00 6 11319006 07/11/12 $ 14,700.00 $ 4,585.71 $ - $ 10,114.29 7 11641502 07/31/12 $ 10,380.00 $ - $ - $ 10,380.00 8 12101589 09/07/12 $ 9,420.00 $ 9,370.02 $ - $ 49.98 9 12604094 10/31/12 $ 15,740.00 $ - $ - $ 15,740.00 10 12684490 11/08/12 $ 11, 340.00 $ - $ - $ 11, 340.00 11 14241198 12/10/12 $ 12,780.00 $ 6,412.00 $ - $ 6,368.00 12 14389385 12/22/12 $ 9,340.00 $ 5,036.00 $ - $ 4,304.00 13 14821013 01/09/13 $ 10,700.00 $ 1,664.00 $ - $ 9,036.00 14 14262260 01/17/13 1 $ 13,340.00 $ 4,908.80 1 $ - $ 8,431.20 15 15469117 04/18/13 $ 15,660.00 $ 14,428.90 $ - $ 1,231.10 Residence W'iverT ©talw $$= 9dd.00 $' Z13:3 $'(27110' $ 11�#7J9.7T