Narrative of Resolution:
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There are various insurance companies who serve as third party payors for current patients and for whom the Department of Health and the Certified Home Health Agency are considered “out of network” and therefore subject to delays in claiming and payments from the insurance companies. The third party payors require written agreements with service providers such as the Department of Public Health to establish claiming and payment procedures which allow payments to be forwarded directly to the provider.
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If Resolution requires expenditure of County Funds, provide the following information:
Amount to be authorized by Resolution: 0
Are funds already budgeted? No
Specify Compliance with Procurement Procedures: N/A
WHEREAS, Sullivan County Department of Public Health is a provider of services to patients who are reimbursed by third party payors; and
WHEREAS, Sullivan County Department of Public Health desires to enhance third party payor revenue collection; and
WHEREAS, there are various insurance companies who serve as third party payors for current patients and for whom the Department of Health and the Certified Home Health Agency are considered “out of network” and therefore subject to delays in claiming and payments from the insurance companies; and
WHEREAS, these third party payors require written agreements with service providers such as the Department of Public Health to establish claiming and payment procedures which allow payments to be forwarded directly to the provider.
NOW, THEREFORE, BE IT RESOLVED, that the County Manager be authorized to enter into provider agreements with various insurance companies/providers during the period of January 1, 2023 through December 31, 2023. Such agreements may be extended, upon mutual agreement, for four (4) additional years on a yearly basis; and
BE IT FURTHER RESOLVED that said agreements be in such form as approved by the Sullivan County Department Law.