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<br />(t) All patients, whether or not domiciled in the City of La Porte, shall be liable for any <br />co-payment or deductible amounts not satisfied by public or private insurance, and the City of La <br />Porte shall make reasonable collection efforts for all such balances according to the most current <br />rules or regulations set forth by applicable Health Care Financing Administration federal policies <br />and regulations. <br /> <br />(g) The City of La Porte may bill any applicable coinsurance carriers for such amounts. <br /> <br />(h) Exceptions include only those instances where the City of La Porte has knowledge <br />of a particular patient's indigence or where the City of La Porte has made a determination that <br />the cost of billing and collecting such co-payments or deductibles exceeds or is disproportionate <br />to the amounts to be collected. <br /> <br />(i) The City of La Porte shall not balance bill when prohibited by law. <br /> <br />G) A patient for whom the City of La Porte does not bill on assignment and who <br />receives payment directly from a third party payer for emergency medical services rendered by <br />the City of La Porte is obligated to remit such monies to the City of La Porte in the event the <br />City of La Porte has not been paid for services rendered. Patients who do not remit such monies <br />may be held liable for costs of collection in addition to the charges for emergency medical <br />services rendered. <br /> <br />(k) The City of La Porte may, either directly or through any third party billing agency <br />with which it has contracted for billing and/or collections for emergency medical services, make <br />arrangements with patients and/or their financially responsible party for installment payments of <br />bills so long as the City of La Porte determines that: <br /> <br />(1) the financial condition of the patient requires such an arrangement; and <br />(2) the patient and/or financially responsible party has demonstrated a willingness <br />to make good faith efforts towards payment of the bill." <br /> <br />Sec. 30-87. Procedure for EMS Billing. <br /> <br />(a) The City of La Porte - EMS is hereby authorized to perform all EMS billing and/or <br />collection services. <br /> <br />(b) Funds payable to the City of La Porte by third party payers and/or carriers will NOT <br />be routinely negotiated and will be deposited directly into a designated City of La Porte account, <br />through a lock box or similar arrangement. <br /> <br />(c) Exceptions to funds payable to the City of La Porte for EMS services will be limited <br />to negotiations agreed upon between a legal representative of a patient or the party responsible <br />for the patient's personal financial obligations and the Chief EMS Officer. <br /> <br />(d) A detailed listing of patients who utilize Emergency Medical Services will be <br />compiled by the City of La Porte EMS Department. This information will be collected for billing <br />and documentation purposes only. The information will be subject to the confidentiality <br />requirements of applicable law. This information will include, at a minimum, the following: <br />