To solicit offers from qualified firms to perform ambulance billing and collection service.

Vendor will provide ambulance billing, collection, financial reporting, and analytical services for ambulance and fire services provided by the Moline Fire Department.

Vendor is required to operate an electronic billing system that must meet or exceed all federal/state guidelines for Medicare and Medicaid programs. Billing system must conform in all respects to all federal, state, and local laws, ordinances, and regulations, including all HIPAA requirements.

The City requests that all proposals be organized in such a format that will allow comparative uniformity within the review process. Therefore, please follow the format prescribed as follows when assembling your proposal.

• Letter of Transmittal
Summarize the vendor’s understanding of the work to be accomplished. Proposers may use this section to present any information they consider essential in the comprehension of their proposal.

• Vendor Profile
Detail the vendor’s experience, facility, staffing, equipment, technology, and other pertinent information that demonstrates the vendor’s capability to provide high quality reliable services. Also provide samples of monthly and annual reports specified under D. Reporting Service.

• References
Provide at least five (5) Illinois clients similar in size and scope of services as those identified in this RFP. Include municipal name and address, scope of service, and contact information.

• Services Cost Proposal
Provide a comprehensive cost proposal that covers all costs associated with the billing and collection services identified in this RFP.

• Equal Employment Opportunity Policy
Provide statement certifying the vendor’s commitment to Non-Discrimination. City of Moline is an Equal Opportunity Employer and does not discriminate against any persons on the basis of race, creed, color, age, sexual orientation, gender, ethnic background or national origin.

• Insurance Requirement
Provide evidence of Commercial General Liability Insurance. Vendor shall also carry Excess and Umbrella Liability Insurance in the form following the underwritten coverages in the amount of $1,000,000 for each occurrence and $1,000,000 aggregate.