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HomeMy WebLinkAboutMINUTES - 02072023 - FPD Min PktCALENDAR FOR THE BOARD OF DIRECTORS CONTRA COSTA COUNTY FIRE PROTECTION DISTRICT BOARD CHAMBERS, ADMINISTRATION BUILDING, 1025 ESCOBAR STREET MARTINEZ, CALIFORNIA 94553-1229 JOHN GIOIA, CHAIR FEDERAL D. GLOVER, VICE CHAIR CANDACE ANDERSEN DIANE BURGIS KEN CARLSON MONICA NINO, CLERK OF THE BOARD AND COUNTY ADMINISTRATOR, (925) 655-2075 LEWIS BROSCHARD, FIRE CHIEF As permitted by Government Code section 54953 (e), and in accordance with the County Public Health Officer’s recommendations for virtual meetings and social distancing, Board members may participate in the meeting remotely. The Board meeting will be accessible in-person, via television, and via live-streaming to all members of the public. Board meetings are televised live on Comcast Cable 27, ATT/U-Verse Channel 99, and WAVE Channel 32, and can be seen live online at www.contracosta.ca.gov. Persons who wish to address the board during public comment or with respect to an item on the agenda may comment in person or may call in during the meeting by dialing 888-278-0254 followed by the access code 843298#. A caller should indicate they wish to speak on an agenda item, by pushing "#2" on their phone. Access via Zoom is also available using the following link: https://cccounty-us.zoom.us/j/87344719204. Those participating via Zoom should indicate they wish to speak on an agenda item by using the “raise your hand” feature in the Zoom app. To provide contact information, please contact Clerk of the Board at clerkoftheboard@cob.cccounty.us or call 925-655-2000. Meetings of the Board are closed-captioned in real time. Public comment generally will be limited to two minutes. Your patience is appreciated. A Spanish language interpreter is available to assist Spanish-speaking commenters. A lunch break or closed session may be called at the discretion of the Board Chair. Staff reports related to open session items on the agenda are also accessible online at www.contracosta.ca.gov. ANNOTATED AGENDA & MINUTES February 7, 2023   Present: Director John Gioia; Director Candace Andersen; Director Diane Burgis; Director Ken Carlson; Director Federal D. Glover Staff Present:Lewis Broschard, Fire Chief Monica Nino, County Administrator            1:00 P.M. Convene and call to order. 1:00 P.M. Convene and call to order.    Convened today's meeting at 2:25 p.m. Adjourned today's meeting at 2:54 p.m.   CONSIDER CONSENT ITEMS (Items listed as C.1 through C.7 on the following agenda) – Items are subject to removal from Consent Calendar by request of any Director. Items removed from the Consent Calendar will be considered with the Discussion Items.   DISCUSSION ITEMS   D.1 CONSIDER accepting a report from the Fire Chief providing a status summary for ongoing Fire District activities and initiatives. (No fiscal impact) (Lewis T. Broschard III, Fire Chief)       Speaker: No Name Given.    AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover D.2 CONSIDER accepting a report from the Deputy Fire Chief providing a status summary for Contra Costa County Fire Protection District fire station construction projects. (Aaron J. McAlister, Deputy Fire Chief)       Speaker: No Name Given.    AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover D. 3 CONSIDER Consent Items previously removed.    There were no consent items removed for discussion.   D. 4 PUBLIC COMMENT (2 Minutes/Speaker)    No Name Given given reported that she was under the impression that some Fire District projects have been delayed because of the lack of progress at the former Concord Naval Weapons Station.   CONSENT ITEMS   C.1 APPROVE and AUTHORIZE the Fire Chief, or designee, to execute a contract with DocuWare Corporation (DocuWare), in an amount not to exceed $25,000 to provide document management software for the Fire District for the term February 15, 2023 through February 14, 2026, with two one-year extension options through February 14, 2028. (100% CCCFPD General Fund)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover C.2 RATIFY the Fire District's grant application; and APPROVE and AUTHORIZE the Fire Chief, or designee, to accept grant funding from the California Office of Traffic Safety Grant Program, in an amount not to exceed $216,898, for the purchase of a truck-mounted attenuator. (100% Federal)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover C.3 APPROVE and AUTHORIZE the Auditor-Controller, on behalf of the Contra Costa County Fire Protection District, to make a payment to the State of California Department of Health Care Services in an amount not to exceed $2,023,034 for the Ground Emergency Medical Transportation Quality Assurance Fee for ambulance transports provided by the Contra Costa County Fire Protection District in the months of January 2022 through September 2022. (100% CCCFPD EMS Transport Fund)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover C.4 APPROVE and AUTHORIZE the Fire Chief, or designee, to apply for and accept grant funding from the U.S. Department of Homeland Security, Federal Emergency Management Agency, Assistance to Firefighters Grants Program in an amount not to exceed $2,000,000 for the purchase of a heavy rescue. (90% Federal, 10% District match)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover C.5 APPROVE and AUTHORIZE the Fire Chief, or designee, to apply for and accept grant funding from the U.S. Department of Homeland Security, Federal Emergency Management Agency, Assistance to Firefighters Grant Program in an amount not to exceed $6,000,000 for the replacement of portable radios. (85% Federal, 15% District match)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover C.6 APPROVE and AUTHORIZE the Fire Chief, or designee, to execute the California Fire Safe Council Subaward Agreement, providing the Contra Costa County Fire Protection District total funding in an amount not to exceed $175,000 for wildfire prevention planning. (100% State)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover C.7 RECEIVE a report of Calendar Year 2022 account balance write-offs of Contra    C.7 RECEIVE a report of Calendar Year 2022 account balance write-offs of Contra Costa County Fire Protection District emergency ambulance services fees and charges totaling $324,229.       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover   GENERAL INFORMATION The Board meets in its capacity as the Board of Directors of the Contra Costa County Fire Protection District pursuant to Ordinance Code Section 24-2.402. Persons who wish to address the Board of Directors should complete the form provided for that purpose and furnish a copy of any written statement to the Clerk. Any disclosable public records related to an open session item on a regular meeting agenda and distributed by the Clerk of the Board to a majority of the members of the Board of Directors less than 72 hours prior to that meeting are available for public inspection at 1025 Escobar Street, First Floor, Martinez, CA 94553, during normal business hours. All matters listed under CONSENT ITEMS are considered by the Board of Directors to be routine and will be enacted by one motion. There will be no separate discussion of these items unless requested by a member of the Board or a member of the public prior to the time the Commission votes on the motion to adopt. Persons who wish to speak on matters set for PUBLIC HEARINGS will be heard when the Chair calls for comments from those persons who are in support thereof or in opposition thereto. After persons have spoken, the hearing is closed and the matter is subject to discussion and action by the Board. Comments on matters listed on the agenda or otherwise within the purview of the Board of Directors can be submitted to the office of the Clerk of the Board via mail: Contra Costa County Fire Protection District Board of Directors, 1025 Escobar Street first floor, Martinez, CA 94553; by fax: 925-655-2006 or to clerkoftheboard@cob.cccounty.us. The District will provide reasonable accommodations for persons with disabilities planning to attend Board meetings who contact the Clerk of the Board at least 24 hours before the meeting, at (925) 655-2000. The Board of Directors’ agenda and meeting materials are available for inspection at least 96 hours prior to each meeting at the Office of the Clerk of the Board, 1025 Escobar Street,First floor, Martinez, California. Subscribe to receive the weekly Board Agenda by calling the Office of the Clerk of the Board, (925) 655-2000 or using the County's on line subscription feature at the County’s Internet Web Page, where agendas and supporting information may also be viewed: www.co.contra-costa.ca.us DISCLOSURE OF CAMPAIGN CONTRIBUTIONS Pursuant to Government Code section 84308, members of the Board of Supervisors are disqualified and not able to participate in any agenda item involving contracts (other than competitively bid, labor, or personal employment contracts), franchises, discretionary land use permits and other entitlements if the Board member received, since January 1, 2023, more than $250 in campaign contributions from the applicant or contractor, an agent of the applicant or contractor, or any financially interested participant who actively supports or opposes the County’s decision on the agenda item. Members of the Board of Supervisors who have received, and applicants, contractors or their agents who have made, campaign contributions totaling more than $250 to a Board member since January 1, 2023, are required to disclose that fact for the official record of the subject proceeding. Disclosures must include the amount of the campaign contribution and identify the recipient Board member, and may be made either in writing to the Clerk of the Board of Supervisors before the subject hearing or by verbal disclosure at the time of the hearing. ADVISORY COMMISSION The Contra Costa County Fire Protection District Advisory Fire Commission is scheduled to meet next on Monday, February 13, 2023 at 7:00 p.m. at their Administrative Office, 4005 Port Chicago Highway, Suite 250, Concord, CA 94520. AGENDA DEADLINE: Thursday, 12 noon, 12 days before the Tuesday Board meetings. Glossary of Acronyms, Abbreviations, and other Terms The Contra Costa County Fire Protection District has a policy of making limited use of acronyms, abbreviations, and industry-specific language in its Board of Supervisors meetings and written materials. For a complete list of commonly used language that may appear in oral presentations and written materials associated with Board meetings, please visit https://www.contracosta.ca.gov/8464/Glossary-of-Agenda-Acronyms. RECOMMENDATION(S): ACCEPT a report from the Fire Chief providing a status summary for ongoing Fire District activities and initiatives. FISCAL IMPACT: No fiscal impact. BACKGROUND: At the request of the Contra Costa County Fire Board of Directors, the Fire Chief is providing a report on the status and progress of the various District initiatives. CONSEQUENCE OF NEGATIVE ACTION: The Board would not receive the most up to date information regarding ongoing Fire District activities and initiatives. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 02/07/2023 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover, Director Contact: Lewis T. Broschard III, Fire Chief (925) 941-3300 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: February 7, 2023 Monica Nino, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: D.1 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard, III, Chief, Contra Costa Fire Protection District Date:February 7, 2023 Contra Costa County Subject:Fire Chief's Report - February 7, 2023 CLERK'S ADDENDUM Speaker: No Name Given. ATTACHMENTS Fire Chief's Report February 2023 CONTRA COSTA COUNTY FIRE PROTECTION DISTRICT February 7, 2023 TO: Board of Directors FROM: Lewis T. Broschard III, Fire Chief RE: Fire Chief’s Report  Operations Update. Severe weather throughout January challenged our crews with a variety of seasonal situations such as flooding, power outages, and vehicle accidents. Additionally, several water rescues, though not all directly related to winter rains, proved the value of our special swift water program and its complement of rescue equipment and training. We continued to respond throughout the period to another seasonal challenge, the residential structure fires resulting from increased indoor heater use and cooking as a result of the inclement weather. In one of our more unusual responses, our firefighters, responding to a single family home garage fire in Martinez on January 17, 2023 were surprised to encounter a large number of dogs as they attached the fire. In the end, they, aided by Martinez Police, County Animal Services, and many helpful neighbors, rescued some 70 Pomeranian dogs and few cats. Crew 12, continued its first winter storm assignment throughout the last month, clearing roads of downed trees to ensure first responder access and availability of evacuation routes. Assignments included those in Martinez, Orinda, Pleasant Hill, and Walnut Creek. Con Fire also supported FEMA Task Force 4’s deployment in the South Bay for water rescues there.  Training Update. In the last month we have rebuilt our Vector Solutions online training platform to better support the District’s growing training needs and more efficiently collect training data to ensure both effectiveness and compliance. This has facilitated implementation of both monthly digital training and quarterly in-person class assignments. Our current fire recruit academy is moving closer to completion with graduation set for the evening of February 15, 2023 at the Lesher Center. At the same time, we are gearing up for our lateral academy for current firefighters from other agencies, which will begin on March 6, 2023. We continue to coordinate a wide array of professional development and grant-funded classes for our personnel as well as those from other area fire agencies. At the same time, in recent weeks the division also supported use of the training grounds for Berkeley and San Ramon Valley Fire academies, important programs for fire service career entry.  Pinole Contract Update. Our contract for services in the City of Pinole, effective on January 1, 2023 is quickly moving forward to the March 1, 2023 implementation date when we will assume all responsibility for fire, rescue, and EMS services in that city. One of the most immediate and visible benefits will be the reopening of long closed Fire Station 74 on Pinole Valley Road on that date. A ceremony marking the occasion of reopening the station is planned for March 4, 2023 at Fire Station 74.  Communications Division Update. The communications division has been busy implementing new fiber connectivity to the County’s network for Fire Stations 73 and 74 and facilitating support to other divisions for the pending contracted fire services for the City of Pinole.  Fire Prevention Bureau Update. During the month of January, we culminated our Fire Inspector Academy with the badge pinning of five new inspectors. Each of the inspectors were then assigned to either our engineering, code enforcement or community risk reduction divisions. The California Fire Safe Council notified us we were successful in seeking the award of the County Coordinator Statewide Grant Program. After approval to accept the grant, a recruitment will begin to fill the part-time contract position. The Contra Costa County Wildfire Mitigation Program, funded by Measure X, went live this month on a new portal hosted on our website provided by vendor GovQA. The new interface is more user friendly making it simple and easy for residents to submit an application for one of the eight categories supported by this program. The process involves continued communication with the local fire district of the affected area for input and rating of the proposal. The link to the site has been shared with all county fire districts. To visit the portal, please follow this link.  Hospital Offload Delays and Ambulance System Performance. We conducted our quarterly meeting with the hospital executives and emergency department directors on January 30, 2023. Over the past several years the issue of offload delays has steadily grown more problematic and impactful on our emergency ambulance transport program. The past three months have seen dramatic increases in offload delays at all hospitals significantly impacting our transport program. We will be meeting individually with each facility in the coming weeks to introduce and discuss a new policy designed to reduce offload delays and place responsibility for transfer of patient care onto the hospital after an established maximum time period. Mirrored off of an established policy in Alameda County, we are hopeful this will be one step towards making improvements to our system reliability by decreasing the severity and frequency of ambulances being delayed from transferring patients to the receiving facilities. 4005 Port Chicago Highway, Suite 250 • Concord, CA 94520-1180 Telephone: (925) 941-3300 • Fax: (925) 941-3309 • www.cccfpd.org RECOMMENDATION(S): ACCEPT a report from the Deputy Fire Chief providing a status summary for Contra Costa County Fire Protection District fire station construction projects. FISCAL IMPACT: Status report only. No fiscal impact. BACKGROUND: At the request of the Contra Costa County Fire Board of Directors, the Deputy Fire Chief is providing a report on the status and progress of District fire station construction projects. CONSEQUENCE OF NEGATIVE ACTION: The Board would not receive a status summary for Contra Costa County Fire Protection District fire station construction projects APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 02/07/2023 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover, Director Contact: Aaron McAlister, Deputy Fire Chief (925) 941-3300 x1101 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: February 7, 2023 Monica Nino, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: D.2 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:February 7, 2023 Contra Costa County Subject:Update on Fire Station Construction Projects - February 7, 2023 CLERK'S ADDENDUM Speaker: No Name Given. ATTACHMENTS Construction Project Update February 2023 CONTRA COSTA COUNTY FIRE PROTECTION DISTRICT . 4005 Port Chicago Highway, Suite 250 • Concord, CA 94520-1180 Telephone: (925) 941-3300 • Fax: (925) 941-3309 • www.cccfpd.org 000. February 7, 2023 TO: Board of Directors FROM: Aaron J. McAlister, Deputy Fire Chief RE: Update on Fire Station Construction Projects  Fire Station 90 – Brentwood Some early design work has been completed. We are seeing very high bids regionally in the essential services buildings. Early projections were beyond current budgets and have resulted in value engineering at this early stage. Below is an early layout concept that is not final but provides some idea of the vision for the Empire and Grant site. Update on Fire Station Construction Projects – February 7, 2023 Page 2 Surveying of the site has been completed. We will soon begin the environmental assessments leading us to CEQA compliance. As there are $1.5 Million in federal funds involved in this project, staff recently met with HUD to ensure we are in full compliance with HUD NEPA in order to meet federal environmental requirements. This project is being completed using the design build delivery method.  Fire Station 9 – Pacheco All environmental documents were packaged and sent to the FAA for review and consideration of the non-aviation use of the proposed site. We expected to hear back from the FAA in January 2023 and have not received anything as of this report. As of January 2023, a long term solution for the drainage in the area has not been identified. The Fire District utilized bond funding to construct this facility. There are some time constraints on the bond funding and there is a need to move forward. We are currently exploring a scenario where we would reconstruct a fire station on the current fire station 9 site. We would simultaneously continue conversations with Airport staff and Public Works in hopes of a future aviation site for fire at the airport on the already identified site.  Fire Station 54 – Downtown Brentwood Demolition of the former downtown station is now complete. Staff remains in the investigation phase of a lot line adjustment on both sides of the project. Making modifications to the lot line on both sides would increase the functionality of the fire station. This station will also be constructed using the design build method.  Contra Costa Regional Fire Communications Center (CCRFCC) – Pleasant Hill The architect is now developing full buildable plans for the remodel of the communications center. The goal is to go out to bid in spring 2023. Our plans will require some approvals from the City of Pleasant Hill. RECOMMENDATION(S): APPROVE and AUTHORIZE the Fire Chief, or designee, to execute a contract with DocuWare Corporation (DocuWare), in an amount not to exceed $25,000, not including annual rate adjustments to provide document management software for various forms of documents related to accounting and administrative projects in the Fire District for a period of February 15, 2023 through February 14, 2026, with two one-year extensions option to February 14, 2028. FISCAL IMPACT: This is 100% funded by the CCCFPD General Fund. BACKGROUND: The District needs document management software to organize the volume of incoming documents received on a daily basis. Documents include invoices, contracts, miscellaneous forms to name a few. This software will help with the implementation of the new WorkDay financial software that is set to go live county wide, later in this fiscal year. DocuWare was selected through a competitive bid process. The District contacted numerous industry leading vendors that all had a “patch” to communicate with WorkDay. DocuWare was awarded the contract not only on the lowest bid but they also best APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 02/07/2023 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover, Director Contact: Regina Rubier (925)265-3055 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: February 7, 2023 Monica Nino, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C.1 To:Board of Supervisors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:February 7, 2023 Contra Costa County Subject:Contract with DocuWare Corporation for Document Management Software BACKGROUND: (CONT'D) met the needs of the District. The proposed contract is a set annual fee, despite the quantity of documents the District needs to manage. This fee does have an annual inflation rate that may be increased no more than 5% annually during the term of this Agreement. CONSEQUENCE OF NEGATIVE ACTION: If the agreement is not approved, the District will have to continue to manually scan and manage incoming documents, which could result in lost or misfiled information. The cost savings will result in a more efficient work environment. RECOMMENDATION(S): APPROVE and RATIFY the Fire District's application for grant funding from the California Office of Traffic Safety Grant Program, in an amount not to exceed $216,898, for the purchase of a truck-mounted attenuator. (100% Federal) FISCAL IMPACT: The Contra Costa County Fire Protection District (District) could receive up to $216,898 in federal funds if awarded. There is no local agency cost sharing requirement. The grant award may be lower than the amount requested and will be for a period of one year from the effective date of the award. BACKGROUND: The goal of the Office of Traffic Safety Grant Program is to prevent serious injury and death resulting from motor vehicle crashes so that all roadway users arrive at their destinations safely. One of the explicit focus areas is Emergency Medical Services. Currently, Contra Costa County Fire Protection District utilizes a fire truck blocking unit when separating the public from a crash, fire, or other emergency site. These blocking units are meant to attract the attention of drivers in order to avoid APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 02/07/2023 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover, Director Contact: Deputy Chief Brian Helmick, (925) 941-3300 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: February 7, 2023 , County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C.2 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:February 7, 2023 Contra Costa County Subject:FY 2023 California Office of Traffic Safety Grant Program - Truck-Mounted Attenuator BACKGROUND: (CONT'D) a collision, with the truck(s) or emergency personnel, and interference with the emergency scene. Unfortunately, there have been multiple instances of drivers not seeing the blocking unit and crashing directly into the unit. This results in severe injury to the driver and has resulted in death more than once. Additionally, there have been many instances of drivers putting District personnel in danger when a fire truck blocking unit is deployed. This danger to the District's personnel, as well as area drivers, can easily be avoided with the purchase of a truck-mounted attenuator (TMA). The TMA will act as a crash cushion, lessening the impact and damage to a vehicle while still protecting the firefighters and other emergency personnel. Fire departments throughout the country have begun utilizing these blocking units to better protect their firefighters and other emergency personnel, protect citizens and drivers, and protect a working fire engine from being damaged while serving as a blocking unit. When a front-line vehicle is hit while serving as a blocking unit, it can be out of service for more than a year, and the cost to repair them is in the hundreds of thousands, and sometimes millions, of dollars. Having vehicles out of operation puts emergency personnel and the population they serve at risk. In order to meet the application deadline, the Fire District submitted this grant application by January 31, 2023. This action is to approve and ratify that grant application and to authorize the accpetance of the grant if awarded. CONSEQUENCE OF NEGATIVE ACTION: The District would not be able to accept this grant if awarded; and in order to more effectively protect the public and Fire District personnel, alternative funding would have to be identified for the purpose of purchasing a truck-mounted attenuator. RECOMMENDATION(S): APPROVE and AUTHORIZE the Auditor-Controller, on behalf of the Contra Costa County Fire Protection District, to make a payment to the State of California Department of Health Care Services in an amount not to exceed $2,023,034 for the Ground Emergency Medical Transportation Quality Assurance Fee for ambulance transports provided by the Contra Costa County Fire Protection District in the months of January through September (Quarters 1-3) of 2022. FISCAL IMPACT: The fiscal impact is revenue generating for the Contra Costa County Fire Protection District (District) due to the significant number of Medi-Cal transports within the District’s ambulance operating area. Medi-Cal is the second highest payer type (second to Medicare). The net revenue the District receives will be calculated by multiplying the $220.80 per transport uplift for Medi-Cal fee-for-service and Medi-Cal managed care transports less the $34.02 Quality Assurance Fee (QAF) the District is required to pay on all transports. The net revenue estimate (uplift less QAF) for the District for the current fiscal year is approximately $2 million under these funding and fee parameters. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 02/07/2023 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover, Director Contact: Jackie Lorrekovich, Chief Admin Svcs (925) 941-3300 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: February 7, 2023 , County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C.3 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:February 7, 2023 Contra Costa County Subject:GEMT QAF Payment to California Department of Health Care Services CY 2022 Q1, Q2, and Q3 BACKGROUND: The Centers for Medicare and Medicaid Services (CMS) approved State Plan Amendment (SPA) 18-004 authorizing the Ground Emergency Medical Transportation (GEMT) Quality Assurance Fee (QAF) program in March 2019. QAF is an add-on fee used to increase Medi-Cal funding. Essentially, emergency medical transportation providers in California must pay this fee on all transports, and in return, providers receive an uplift that increases the Medi-Cal reimbursement base rate for Medi-Cal fee-for-service and managed care recipients. The GEMT QAF program increases the historic base rate of Medi-Cal reimbursement by $220.80 per transport. The GEMT QAF program, therefore, increases the per transport reimbursement from the historic base rate of $118.20 to $339.00. To fund this program, the State of California Department of Health Care Services (DHCS) began assessing all transport providers within the State of California a fee of $25.23 per transport effective July 1, 2018. The fee was increased to $26.07 for FY 2019-20, to $32.30 for FY 2020-21, and to $33.42 for FY 2021-22. The current rate of $34.02 in effect for FY 2022-23 is assessed on ground emergency medical transports with dates of service beginning January 1, 2022 through December 31, 2022. The District received the attached invoices from DHCS on January 19, 2023. The invoices are for the period January, February, March (Quarter 1), for $662,403.42; April, May, June (Quarter 2), for $688,768.92; and July, August, September (Quarter 3), for $671,860.98. This request is for calendar year 2022 quarter 1-3 fees (for January-September 2022 transports). The payment for Quarter 1 is due on February 1, 2023, Quarter 2 is due on March 1, 2023, and Quarter 3 is due on April 1, 2023. State program representatives indicated there are no exceptions and late fees may be assessed by the State for payments not received by the due date. CONSEQUENCE OF NEGATIVE ACTION: The QAF payment is mandatory for all providers (public and private) within the State. If not paid, the State can assess late payment penalties and withhold provider payments for ambulance services provided to Medi-Cal recipients. ATTACHMENTS GEMT 2022 Q1 Invoice GEMT 2022 Q2 Invoice GEMT 2022 Q3 Invoice State of California—Health and Human Services Agency Department of Health Care Services GAVIN NEWSOM MICHELLE BAASS DIRECTOR GOVERNOR Third Party Liability and Recovery Division, General Collection Section, MS 4720 P.O. Box 997425, Sacramento, CA 95899-7425 Ground Emergency Medical Transport (GEMT) Quality Assurance Fee (QAF) – Quarterly Payment Provider Invoice Provider Information: Due Date: Payment Details: Year: ___________ QTR: _______ Invoice Number: Amount Due: $_____________________ Fiscal Year Reporting Structure Account App Ref Service Location Activity Program Alt Account Fund Project 9990 Emergency Transport Type: Quantity: Medi-Cal Fee-for-Service Medi-Cal Managed Care Medicare Other Dual Medicare/Medi-Cal Amount Due = Sum of Total Transports x QAF Rate ( ) = $ Payment Instructions: 1.Please use the invoice number provided above to pay via Electronic Funds Transfer (http://dhcs.ca.gov/epay). OR 2. Please submit this invoice and payment to:ATTN: GEMT QAFAccounting Section/Cashiers Unit, Mail Stop 11011501 Capitol AvenueP.O. Box 997415Sacramento, CA 95899-7415 2021-22 980 80005 3323 Name: Provider Name:____________________ DHCS Account Number: 4260KB0B 4129200 CONTRA COSTA COUNTY FIRE PROTECTION DISTRICT 2/1/2023 GEM1316339609 2022 Q1 GEM0223702M 662,403.42 590 4036 6521 5834 2490 662,403.42 $34.02 State of California—Health and Human Services Agency Department of Health Care Services GAVIN NEWSOM MICHELLE BAASS DIRECTOR GOVERNOR Third Party Liability and Recovery Division, General Collection Section, MS 4720 P.O. Box 997425, Sacramento, CA 95899-7425 Ground Emergency Medical Transport (GEMT) Quality Assurance Fee (QAF) – Quarterly Payment Provider Invoice Provider Information: Due Date: Payment Details: Year: ___________ QTR: _______ Invoice Number: Amount Due: $_____________________ Fiscal Year Reporting Structure Account App Ref Service Location Activity Program Alt Account Fund Project 9990 Emergency Transport Type: Quantity: Medi-Cal Fee-for-Service Medi-Cal Managed Care Medicare Other Dual Medicare/Medi-Cal Amount Due = Sum of Total Transports x QAF Rate ( ) = $ Payment Instructions: 1.Please use the invoice number provided above to pay via Electronic Funds Transfer (http://dhcs.ca.gov/epay). OR 2. Please submit this invoice and payment to:ATTN: GEMT QAFAccounting Section/Cashiers Unit, Mail Stop 11011501 Capitol AvenueP.O. Box 997415Sacramento, CA 95899-7415 2021-22 980 80005 3323 Name: Provider Name:____________________ DHCS Account Number: 4260KB0B 4129200 CONTRA COSTA COUNTY FIRE PROTECTION DISTRICT 3/1/2023 GEM1316339609 2022 Q2 GEM03230PU2 688,768.92 666 4676 7209 5596 2099 688,768.92 $34.02 State of California—Health and Human Services Agency Department of Health Care Services GAVIN NEWSOM MICHELLE BAASS DIRECTOR GOVERNOR Third Party Liability and Recovery Division, General Collection Section, MS 4720 P.O. Box 997425, Sacramento, CA 95899-7425 Ground Emergency Medical Transport (GEMT) Quality Assurance Fee (QAF) – Quarterly Payment Provider Invoice Provider Information: Due Date: Payment Details: Year: ___________ QTR: _______ Invoice Number: Amount Due: $_____________________ Fiscal Year Reporting Structure Account App Ref Service Location Activity Program Alt Account Fund Project 9990 Emergency Transport Type: Quantity: Medi-Cal Fee-for-Service Medi-Cal Managed Care Medicare Other Dual Medicare/Medi-Cal Amount Due = Sum of Total Transports x QAF Rate ( ) = $ Payment Instructions: 1.Please use the invoice number provided above to pay via Electronic Funds Transfer (http://dhcs.ca.gov/epay). OR 2. Please submit this invoice and payment to:ATTN: GEMT QAFAccounting Section/Cashiers Unit, Mail Stop 11011501 Capitol AvenueP.O. Box 997415Sacramento, CA 95899-7415 2021-22 980 80005 3323 Name: Provider Name:____________________ DHCS Account Number: 4260KB0B 4129200 CONTRA COSTA COUNTY FIRE PROTECTION DISTRICT 4/1/2023 GEM1316339609 2022 Q3 GEM0423MID8 671,860.98 670 4480 7259 5306 2034 671,860.98 $34.02 RECOMMENDATION(S): APPROVE and AUTHORIZE the Fire Chief, or designee, to apply for and accept grant funding from the U.S. Department of Homeland Security, Federal Emergency Management Agency, Assistance to Firefighters Grants Program in an amount not to exceed $2,000,000 for the purchase of a heavy rescue response vehicle. FISCAL IMPACT: The total grant application would not exceed $2,000,000 with a 10% local agency cost sharing requirement. The federal share of the grant would be $1,800,000 and the District’s share would be $200,000. The grant award may be lower than the amount requested. BACKGROUND: The Fiscal Year (FY) 2020 Assistance to Firefighters Grant (AFG) Program objectives are to provide critically needed resources to equip and train emergency personnel, enhance efficiencies and support community resilience. Acquiring a heavy rescue apparatus will enhance and advance an already thriving technical rescue program. The ability to respond with a piece of apparatus with this capability will APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 02/07/2023 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover, Director Contact: Deputy Chief Aaron McAlister, (925) 941-3300 x1101 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: February 7, 2023 , County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C.4 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:February 7, 2023 Contra Costa County Subject:FY 2022 Assistance to Firefighters Grant - Heavy Rescue BACKGROUND: (CONT'D) greatly increase the options available to rescue crews. Relevant incidents range from motor vehicle collisions requiring disentanglement to responses in industrial and refining facilities located in the County. A heavy rescue response vehicle is essentially a giant rolling tool box. It contains equipment required for confined space rescue, high angle rescue and vehicle disentanglement. In a large scale disaster such as an earthquake, this vehicle will contain equipment used for urban search and rescue in a structural collapse. According to the USGS the probability of at least one earthquake of magnitude 6.7 or larger in the San Francisco Bay Region is 72 percent, and the probability of at least one earthquake of magnitude 7.0 or larger is 51 percent. An earthquake of this magnitude has the potential to cause multiple building collapses in our jurisdiction. The heavy rescue equipment will be used to save lives in this urban search and rescue scenario. CONSEQUENCE OF NEGATIVE ACTION: The District would not be able to apply for this grant opportunity. RECOMMENDATION(S): APPROVE and AUTHORIZE the Fire Chief, or designee, to apply for and accept grant funding from the U.S. Department of Homeland Security, Federal Emergency Management Agency, Assistance to Firefighters Grant Program in an amount not to exceed $6,000,000 for the replacement of portable radios for Contra Costa County Fire Protection District and its regional partners. FISCAL IMPACT: This grant application is for an amount up to $6,000,000 with a 15% local agency cost sharing requirement. The federal share of the grant, if awarded at the maximum $6,000,000, would be $5,100,000, and the District’s share (along with its regional partners) would be $900,000. The grant award may be lower than the amount requested. In general, the maximum award for the regional population this application falls under is $3.2 million. However, in extraordinary circumstances, an award amount of up to $6,000,000 may be issued. If $3.2 million is awarded, the federal share of the grant would be $2,720,000, and the District's share (along with its regional partners) would be $480,000. The performance period would be twenty-four (24) months from the effective date of the award. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 02/07/2023 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover, Director Contact: Deputy Chief Brian Helmick, (925) 941-3300 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: February 7, 2023 , County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C.5 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:February 7, 2023 Contra Costa County Subject:FY 2022 Assistance to Firefighters Grant - Regional Portable Radios BACKGROUND: The FY 2022 Assistance to Firefighters Grant (AFG) Program objectives are to provide critically needed resources to equip and train emergency personnel, enhance efficiencies and support community resilience. Currently, Fire District personnel, vehicles, and stations are outfitted with radios that are more than ten years old. In 2012, Model 1 of the Motorola portable radios were purchased. These radios are now on Model 3, yet the Fire District continues to utilize its original radios. There have been instances of radio delays and outages which are becoming increasingly frequent. This puts our emergency personnel and the community at risk. The Fire District and its regional partners combined provide emergency services to approximately 1.2 million Californians. Additionally, thousands of people drive to and through the County every day for work and various other reasons. Contra Costa County Fire Protection District serves as the dispatch center for all area emergency response. The Model 1 radios are used to support that regional system which means that the entire region is at risk of countywide radio failure. For these reasons, the Fire District, along with its regional partners, is requesting funds to replace these radios that literally serve as a lifeline throughout our community. This action is to authorize the grant application and the acceptance of the grant funding, if awarded. CONSEQUENCE OF NEGATIVE ACTION: If this action is not approved, the fire departments and fire protection districts of the county would not be able to apply for this regional grant funding opportunity. RECOMMENDATION(S): APPROVE and AUTHORIZE the Fire Chief, or designee, to execute the California Fire Safe Council Subaward Agreement (Contra Costa County Coordinator Project 22 CAL FIRE CC STATEWIDE 423343) providing the Contra Costa County Fire Protection District total funding in an amount not to exceed $175,000 for wildfire prevention planning. FISCAL IMPACT: 100% State: up to $175,000 in revenue. There is no local match requirement. BACKGROUND: On November 8, 2022, the Board authorized and approved the Fire Chief, or designee, to apply to the California Fire Safe Council for the 2022 CAL FIRE County Coordinator Statewide Grant Program for a one-time, 18-month grant of $175,000. The Fire District was awarded the grant and is now seeking Board approval to accept the grant award which will be used to pay the salary of a part-time, non-benefited, contractor to serve as the County Coordinator; as well as the costs for supplies, outreach materials, administrative costs, travel, and other meeting expenses. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 02/07/2023 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover, Director Contact: Chris Bachman, Assistant Fire Chief / Fire Marshal (925) 941-3300 x1520 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: February 7, 2023 , County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C.6 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:February 7, 2023 Contra Costa County Subject:2022 CAL FIRE County Coordinator Statewide Grant Program BACKGROUND: (CONT'D) The County Coordinator will be responsible for developing plans and recommendations related to wildfire prevention and for collaboration amongst participating public and non-profit agencies; assisting in new fire safe council and associated group formations; participating in quarterly meetings with California Fire Safe Council staff, state/regional/county coordinators, and other interested wildfire mitigation groups; and producing project deliverables. The County Coordinator may also assist in managing local Measure X funded wildfire mitigation programs. Deliverables for the program include: (1) Identifying, summarizing, and reporting on local groups, grants, and projects within each county at the onset on the grant project, within the grant period, and at the conclusion of the grant project; (2) Tracking and monitoring collaboration efforts, tasks, meetings, workshops, and plans developed by the County Coordinator during the project window; (3) Preparing and submitting quarterly programmatic and fiscal reports; and (4) Updating GIS Networking Portal Project data files, which may include project maps and lists of mitigation groups. CONSEQUENCE OF NEGATIVE ACTION: If this action is not approved, the Fire District will not be able to hire a County Coordinator or participate in the program. Additionally, Contra Costa County could potentially miss out on future grant funding opportunities for the County and its residents. RECOMMENDATION(S): RECEIVE a report of CY 2022 account balance write-offs of Contra Costa County Fire Protection District emergency ambulance services fees and charges totaling $324,229. FISCAL IMPACT: Total amount of write-offs in CY 2022 is $324,229.91. BACKGROUND: On October 11, 2022, the Contra Costa County Fire Protection District Board of Directors adopted revised policies and procedures for the billing and collection for emergency ambulance services. AMB-6 - Write-Off Policy requires the Fire District to report all account write-offs to the Board of Directors on a semi-annual basis at a regularly scheduled Board meeting. The attached report reflects account write-offs in the amount of $324,229.91 in CY 2022. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 02/07/2023 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Ken Carlson, Director Federal D. Glover, Director Contact: Scott Wannamaker, Assistant Chief, (925) 941-3300 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: February 7, 2023 Monica Nino, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C.7 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:February 7, 2023 Contra Costa County Subject:Emergency Ambulance Account Write-Off Report ATTACHMENTS 2022 Write-Offs Date Complaint Received Date of Service Account #Items in Dispute Disposition Amount Written Off 1/3/2022 5/28/2021 61334254 Billing Error Remove from collections, update address and resend bill.$0.00 1/4/2022 11/3/2021 62886138 CC App CC App Approved / Balance waived $200.00 1/4/2022 5/17/2020 57126182 CC App CC App Approved / Balance waived $2,698.95 1/4/2022 7/31/2021 61994351 Hardship CC App Denied / Offer PP $0.00 1/4/2022 8/6/2021 62042014 Hardship CC App Denied / Offer PP $0.00 1/4/2022 10/27/2018 50049106 Hardship CC App Denied / Offer PP $0.00 1/4/2022 3/30/2021 60666990 Hardship CC App Denied / Offer PP $0.00 1/4/2022 3/18/2019 51814028 Hardship Send CC App to patient $0.00 1/4/2022 10/2/2021 62625754 VOC Victim of Crime / Balance waived $3,443.86 1/5/2022 9/8/2021 62405834 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$550.00 1/5/2022 12/24/2020 59583144 CC App CC App Approved / Balance waived $3,124.00 1/5/2022 7/16/2021 61865265 VOC Victim of Crime / Balance waived $550.00 1/6/2022 10/16/2021 62739422 Insurance Update update and bill the insurance $0.00 1/7/2022 4/25/2017 42897944 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$3,376.00 1/7/2022 12/24/2020 59583144 CC App CC App Approved / Balance waived $3,124.00 1/7/2022 2/27/2021 60310606 CC App CC App Approved / Balance waived $200.00 1/7/2022 2/17/2021 60193481 CC App CC App Approved / Balance waived $3,035.40 1/7/2022 3/17/2021 60512359 Lift Assist Only Lift only - Remove from collections & waive bill.$953.40 1/7/2022 3/19/2021 60539812 Insurance Update update and billing insurance $0.00 1/10/2022 4/2/2020 56679640 Insurance Update Remove from collections and update acct with insurance / bill info $0.00 1/10/2022 2/18/2021 60211129 Insurance Update update address and insurance info $0.00 1/10/2022 12/15/2020 59479853 Insurance Update update address and bill insurance $0.00 1/10/2022 10/14/2021 62726739 Insurance Update Update insurance information $0.00 1/10/2022 11/6/2021 62914675 Insurance Update Update insurance information $0.00 1/10/2022 11/11/2021 62954202 Insurance Update Update insurance information $0.00 1/11/2022 1/11/2022 63432362 Deceased Waive balance $200.00 1/12/2022 2/17/2021 60193481 CC App CC App Approved / Balance waived $3,035.40 1/12/2022 8/1/2018 48969295 CC App CC App Approved / Balance waived $2,153.25 1/20/2022 8/15/2021 62152846 Lift Assist Only Lift only - Remove from collections & waive bill.$83.30 1/24/2022 4/29/2021 61011700 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$0.00 1/24/2022 9/3/2021 62353518 CC App CC App Denied / Offer PP $0.00 1/24/2022 10/30/2021 62850338 CC App CC App Incomplete - Needs to submit tax returns $0.00 1/24/2022 8/8/2021 62069985 Lift Assist Only Waive balance $1,056.63 1/25/2022 10/6/2021 62655936 Lift Assist Only Lift only - Remove from collections & waive bill.$0.00 1/26/2022 9/3/2021 62353518 Hardship CC App Denied / Offer PP $0.00 1/26/2022 10/30/2021 62850338 Hardship Incomplete CC App - Denied Resubmit w/ Taxes $0.00 1/26/2022 5/12/2021 61156621 Lift Assist Only Lift only - Remove from collections & waive bill.$520.00 1/26/2022 8/8/2021 62069985 Lift Assist Only Lift only - Remove from collections & waive bill.$1,056.63 1/26/2022 6/3/2020 57302572 Billing Error Waive balance $2,698.95 1/27/2022 9/18/2021 62512821 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$550.00 1/27/2022 1/17/2021 59845714 Billing Error the address is incorrect and needs to be removed from our system. Collections has been sending notices to a Business and not the patient. $0.00 1/28/2022 1/26/2021 59950246 Billing Error Remove from collections and bill insurance $0.00 1/28/2022 2/18/2021 60211129 Billing Error Update patient address and bill insurance.$0.00 1/28/2022 2/13/2021 60149344 Billing Error Waive balance $2,834.00 1/28/2022 2/13/2021 60149344 Billing Error Waive balance $2,834.00 1/31/2022 7/29/2020 57934250 Billing Error Digitech to research billing issue.$2,544.00 2/2/2022 2/28/2021 60319911 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$953.40 2/2/2022 6/15/2021 61533756 CC App CC App Approved / Balance waived $0.00 2/2/2022 6/27/2019 53150439 CC App CC App Approved / Balance waived $3,471.33 2/2/2022 9/3/2021 62353518 CC App CC App Denied / Offer PP $0.00 2/2/2022 7/11/2020 57723156 Billing Error Remove from collections and waive balance.$520.00 2/2/2022 6/3/2020 57302572 Billing Error Waive balance $2,698.95 2/2/2022 5/2/2021 61156621 Lift Assist Only Waive balance $520.00 2/3/2022 10/26/2021 62820349 Lift Assist Only Waive balance $550.00 2/8/2022 7/11/2021 61818135 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$1,056.63 2/8/2022 10/9/2021 62685989 CC App CC App Approved / Balance waived $3,133.63 2/8/2022 10/26/2021 62820327 CC App CC App Approved / Balance waived $200.00 2/8/2022 11/10/2021 62942659 CC App CC App Approved / Balance waived $200.00 2/8/2022 11/19/2021 63010897 CC App CC App Approved / Balance waived $200.00 2/8/2022 5/27/2021 61327117 CC App CC App Approved / Balance waived $470.52 2/8/2022 9/13/2020 58445166 Deceased Deceased - Waive Balance.$125.00 2/8/2022 9/10/2021 62421233 Hardship Insurance paid balance prior to hardship being recvd $0.00 2/8/2022 9/30/2021 62620322 Billing Error Mistaken Identity, Reach Acct and attempt to locate correct person.$0.00 2/8/2022 2/15/2021 60169196 Billing Error No Treatment No Transport / Pronouced On Scene - Waive balance.$2,428.00 2/8/2022 10/27/2021 62824968 Billing Error No Treatment No Transport / Pronouced On Scene - Waive balance.$2,298.30 2/8/2022 12/10/2020 59421121 Billing Error Remove from collections and waive balance.$200.00 2/8/2022 10/17/2020 58833024 Dispute Send CC App to patient $0.00 2/8/2022 12/3/2021 63117549 Billing Error Waive balance $550.00 2/8/2022 3/6/2021 60384969 Lift Assist Only Waive balance $520.00 2/8/2022 8/28/2021 62288418 Lift Assist Only Waive balance $550.00 2/8/2022 10/4/2021 62644909 Lift Assist Only Waive balance $1,056.63 2/8/2022 9/18/2021 62495798 Lift Assist Only Waive balance $550.00 2/8/2022 8/29/2021 62309346 Lift Assist Only Waive balance $550.00 2/8/2022 12/23/2021 63273726 Lift Assist Only Waive balance $550.00 2/8/2022 10/2/2021 62628089 Lift Assist Only Waive balance $550.00 2/9/2022 6/7/2021 61440075 Billing Error Waive balance $415.60 2/10/2022 2/22/2020 56195274 Billing Error Remove from collections and bill insurance $0.00 2/11/2022 2/3/2020 55945502 Billing Error Remove from collections and bill insurance $0.00 2/15/2022 8/18/2021 62174054 CC App CC App Incomplete - Needs to submit tax returns $0.00 2/15/2022 3/29/2021 60666855 Lift Assist Only Waive balance $953.40 2/15/2022 9/9/2021 62406046 Lift Assist Only Waive balance $550.00 2/16/2022 8/27/2021 62280487 Billing Error send CC App to patient $0.00 2/16/2022 1/25/2022 63646537 Billing Error Update insurance information $0.00 2/17/2022 10/21/2021 62782168 CC App CC App Approved / Balance waived $200.00 2/21/2022 10/29/2021 62845736 Hardship Send CC App to patient $0.00 2/21/2022 5/17/2020 57126089 Auto Accident Waive balance $495.43 2/22/2022 9/3/2021 62353595 CC App CC App Incomplete - Needs to submit tax returns $0.00 2/22/2022 11/20/2019 55013479 Billing Error Remove from collections and bill insurance $0.00 2/22/2022 6/11/2020 57387415 VOC Victim of Crime / Balance waived $0.00 2/22/2022 11/5/2021 62902705 VOC Victim of Crime / Balance waived $550.00 2/22/2022 2/12/2021 60138494 Billing Error Waive balance $520.00 2/22/2022 5/2/2021 61034372 Lift Assist Only Waive balance $520.00 2/28/2022 8/16/2021 62167247 FRALS Fee Waive balance $200.00 3/1/2022 10/10/2021 62692557 Billing Error Digitech to research billing issue.$78.10 3/2/2022 11/15/2021 62978538 Deceased Deceased - Waive Balance.$0.00 3/2/2022 6/16/2019 52994894 Billing Error Remove from collections and bill insurance $2,643.78 3/2/2022 7/6/2020 57663080 Billing Error Remove from collections and bill insurance $0.00 3/2/2022 1/13/2021 59803579 Lift Assist Only Waive balance $520.00 3/3/2022 1/3/2022 63366727 Billing Error Waive balance $10.00 3/4/2022 6/14/2021 61521382 Billing Error update and bill insurance.$0.00 3/4/2022 6/9/2020 57365330 FRALS Fee Waive balance $118.12 3/7/2022 1/18/2022 63639727 Billing Error update and bill insurance.$0.00 3/7/2022 11/23/2020 59238643 Auto Accident Waive balance $953.40 3/8/2022 6/7/2021 61440106 Billing Error Bill Insurance.$0.00 3/8/2022 5/23/2021 61281677 CC App CC App Approved / Balance waived $3,472.00 3/8/2022 8/19/2020 49179009 CC App CC App Approved / Balance waived $265.00 3/8/2022 7/18/2020 57806351 Billing Error Remove from collections and bill insurance $0.00 3/8/2022 9/12/2021 62438309 VOC Victim of Crime / Balance waived $550.00 3/8/2022 9/3/2021 62353493 Lift Assist Only Waive balance $550.00 3/8/2022 1/13/2021 59803579 Lift Assist Only Waive balance $520.00 3/8/2022 1/6/2022 63389717 Lift Assist Only Waive balance $230.00 3/8/2022 5/4/2021 61062026 Lift Assist Only Waive balance $520.00 3/11/2022 1/25/2022 63646537 Billing Error Digitech to research billing issue.$0.00 3/11/2022 6/29/2021 61685496 Billing Error Remove from collections and bill insurance $0.00 3/11/2022 7/25/2021 61940347 Billing Error Resend invoice to patient, remove from collections.$0.00 3/15/2022 2/27/2021 60315027 Billing Error Digitech to research billing issue.$0.00 3/15/2022 6/20/2021 61587416 Dispute Reduce to Medicare allowable, Send CC App for remaining balance.$495.69 3/15/2022 5/27/2021 61327117 Hardship Send CC App to patient $0.00 3/15/2022 11/8/2021 62922099 Lift Assist Only Waive balance $550.00 3/16/2022 7/29/2020 57934250 Billing Error Reach billing issue.$2,544.00 3/16/2022 8/23/2021 62238524 Billing Error update and bill insurance.$0.00 3/16/2022 1/30/2020 55896678 Deceased Waive balance $2,698.95 3/16/2022 12/7/2020 59388806 Deceased Waive balance $250.00 3/16/2022 8/7/2021 62049489 Lift Assist Only Waive balance $550.00 3/16/2022 12/30/2021 63334802 Lift Assist Only Waive balance $550.00 3/16/2022 11/16/2020 59165237 Hardship CC App Approved / Balance waived $265.00 3/18/2022 9/12/2021 62438298 CC App CC App Incomplete - Needs to submit tax returns $0.00 3/22/2022 8/23/2021 62234749 CC App CC App Approved / Balance waived $200.00 3/23/2022 2/5/2021 60064417 Billing Error Remove from collections and waive balance.$520.00 3/23/2022 2/5/2021 60064417 Mistaken call Remove from collections and waive balance.$520.00 3/23/2022 5/26/2021 61310695 Auto Accident Waive balance $520.00 3/23/2022 4/20/2020 56864963 Auto Accident Waive balance $495.43 3/23/2022 9/16/2021 62480808 Auto Accident Waive balance $2,627.00 3/23/2022 9/22/20219 54268647 Billing Error Waive balance $1,002.06 3/23/2022 1/6/2020 55593902 FRALS Fee Waive balance $433.40 3/24/2022 1/18/2021 59866016 Billing Error Correct address and bill insurance.$0.00 3/25/2022 10/24/2019 59536868 Billing Error Remove from collections and bill insurance $0.00 3/28/2022 8/22/2021 62225072 Billing Error Digitech to research billing issue.$120.35 3/28/2022 5/12/2021 61162140 Billing Error Remove from collections and bill insurance $0.00 3/29/2022 8/18/2021 62185574 Billing Error Digitech to research billing issue.$0.00 4/4/2022 8/18/2021 62174054 CC App CC App Approved / Balance waived $265.00 4/4/2022 2/11/2016 36906740 Lift Assist Only Waive balance $883.44 4/5/2022 6/15/2021 61529157 CC App CC App Approved / Balance waived $250.00 4/5/2022 7/12/2020 57732664 Billing Error Patient sent payment however it has not applied to acct $520.00 4/5/2022 1/12/2021 59792151 Billing Error Remove from collections and bill insurance.$0.00 4/6/2022 11/12/2021 62957669 CC App CC App Approved / Balance waived $502.13 4/6/2022 3/21/2022 63921620 Billing Error Duplicate waive this acct $550.00 4/6/2022 2/23/2022 63745174 Billing Error Incorrect address. Update and bill insurance.$0.00 4/6/2022 2/8/2022 63650156 Billing Error Research acct for correct address.$0.00 4/6/2022 2/7/2022 63649865 Billing Error Research acct for correct address.$0.00 4/6/2022 11/18/2019 54981466 Billing Error Research acct for VA payment $0.00 4/6/2022 2/23/2022 63749937 Hardship Send CC App to patient $0.00 4/6/2022 10/10/2021 62692557 Billing Error update and bill insurance.$0.00 4/6/2022 3/20/2021 60551091 Billing Error Waive balance $1,987.43 4/6/2022 3/21/2021 60556537 Billing Error Waive balance $1,808.84 4/6/2022 3/23/2021 60581278 Billing Error Waive balance $1,853.48 4/7/2022 1/16/2022 63473520 Billing Error Bill Insurance.$0.00 4/7/2022 5/30/2017 43354862 Deceased Waive balance $106.75 4/7/2022 11/18/2017 45674227 Deceased Waive balance $2,899.40 4/7/2022 6/11/2021 61490702 Lift Assist Only Waive balance $550.00 4/8/2022 1/17/2022 63630503 Billing Error Bill Insurance.$0.00 4/8/2022 1/19/2022 63783397 Billing Error Bill Insurance.$0.00 4/8/2022 1/17/2022 63639565 Billing Error Duplicate waive this acct $550.00 4/8/2022 1/19/2020 55757510 Billing Error Remove from collections and bill insurance.$0.00 4/8/2022 7/13/2021 62025126 Hardship Send CC App to patient $0.00 4/8/2022 4/1/2021 60685838 Deceased Waive balance $200.00 4/11/2022 2/15/2022 63688953 Billing Error Waive balance $550.00 4/12/2022 1/1/2022 63350137 CC App CC App Denied / Offer PP $0.00 4/12/2022 7/29/2020 57934250 Billing Error Waive balance $2,544.00 4/13/2022 7/12/2020 57732664 Billing Error Research acct $0.00 4/13/2022 2/13/2021 60153557 Auto Accident Waive balance $520.00 4/13/2022 8/22/2021 62225072 Billing Error Waive balance $120.35 4/14/2022 1/31/2021 59993547 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$953.40 4/14/2022 2/4/2022 63649162 Billing Error Bill Insurance.$0.00 4/14/2022 8/24/2019 53909882 CC App CC App Approved / Balance waived $2,947.18 4/14/2022 4/14/2019 52162557 CC App CC App Denied / Offer PP $0.00 4/14/2022 1/6/2020 55593902 Billing Error Refund credit to patient.$0.00 4/18/2022 10/10/2021 62692557 Billing Error Remove from collections, reduce to Medicare allowable and send CC App.$0.00 4/18/2022 3/23/2022 63938664 Billing Error update and bill insurance.$0.00 4/18/2022 5/11/2020 57063057 VOC Victim of Crime / Balance waived $3,195.48 4/19/2022 11/15/2020 59153923 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$2,834.00 4/19/2022 3/12/2022 63863970 VOC Waive balance $550.00 4/25/2022 9/23/2021 62546666 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$550.00 4/26/2022 1/8/2022 63406288 Billing Error Duplicate waive this acct $0.00 4/26/2022 1/15/2022 63461705 Billing Error Duplicate waive this acct $550.00 4/26/2022 1/17/2022 63639700 Billing Error Duplicate waive this acct $0.00 4/26/2022 1/18/2022 63639705 Billing Error Duplicate waive this acct $0.00 4/26/2022 1/18/2022 63703219 Billing Error Duplicate waive this acct $550.00 4/26/2022 1/19/2022 63640147 Billing Error Duplicate waive this acct $1,056.63 4/26/2022 1/19/2022 63640235 Billing Error Duplicate waive this acct $0.00 4/26/2022 1/20/2022 63640367 Billing Error Duplicate waive this acct $0.00 4/26/2022 1/21/2022 63640677 Billing Error Duplicate waive this acct $550.00 4/26/2022 1/21/2022 63640700 Billing Error Duplicate waive this acct $550.00 4/26/2022 12/25/2020 59598166 Billing Error update address and insurance info $0.00 4/27/2022 5/31/2021 61362398 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$550.00 4/27/2022 12/1/2021 63100051 CC App CC App Denied / Offer PP $0.00 4/27/2022 2/20/2021 60230151 Billing Error Remove from collections $0.00 4/28/2022 11/11/2021 62949426 CC App CC App Denied / Offer PP $0.00 4/28/2022 7/10/2021 61808173 Auto Accident Waive balance $3,319.63 4/28/2022 7/14/2021 61847156 Auto Accident Waive balance $440.00 4/28/2022 8/23/2021 62238517 Auto Accident Waive balance $2,813.00 4/28/2022 9/2/2021 62343836 Auto Accident Waive balance $550.00 4/28/2022 11/5/2020 59042069 Auto Accident Waive balance $520.00 5/2/2022 5/25/2021 61299626 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$1,026.63 5/3/2022 9/2/2021 62343836 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$550.00 5/3/2022 11/5/2020 59042069 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$520.00 5/3/2022 7/11/2021 61818135 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$1,056.63 5/3/2022 2/28/2021 60319911 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$953.40 5/3/2022 5/31/2021 61362398 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$550.00 5/3/2022 7/15/2021 61852747 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$506.63 5/3/2022 1/22/2022 63640791 CC App CC App Approved / Balance waived $2,627.00 5/3/2022 11/2/2021 62877491 CC App CC App Approved / Balance waived $3,874.75 5/3/2022 10/22/2021 62790367 CC App CC App Approved / Balance waived $743.70 5/3/2022 8/23/2021 62238397 CC App CC App Approved / Balance waived $550.00 5/3/2022 9/5/2021 62367244 Deceased Waive balance $200.00 5/3/2022 3/20/2022 63914965 Lift Assist Only Waive balance $550.00 5/3/2022 12/31/2021 63342796 Mistaken call Waive balance $550.00 5/5/2022 7/10/2021 61808173 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$3,319.63 5/5/2022 1/16/2022 63473520 Deceased Waive balance $200.00 5/5/2022 3/17/2022 63895417 Lift Assist Only Waive balance $550.00 5/6/2022 11/24/2021 63048792 Billing Error Research acct locate correct patient and bill.$0.00 5/9/2022 7/22/2021 61914775 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$1,056.63 5/9/2022 2/5/2019 51294036 CC App CC App Approved / Balance waived $1,551.70 5/9/2022 12/23/2021 63273782 Billing Error Research acct.$0.00 5/11/2022 12/1/2021 63100171 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$550.00 5/11/2022 1/20/2022 63640405 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$0.00 5/11/2022 9/17/2021 62490433 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$506.63 5/11/2022 9/25/2021 62564903 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$550.00 5/11/2022 9/8/2021 62405836 Billing Error Bill Insurance.$0.00 5/11/2022 8/26/2021 62267104 Billing Error Bill Insurance.$0.00 5/11/2022 8/6/2021 62042079 Billing Error Bill Insurance.$0.00 5/11/2022 3/8/2022 63832618 CC App CC App Approved / Balance waived $200.00 5/11/2022 6/4/2021 61412770 CC App CC App Denied / Offer PP $0.00 5/11/2022 1/8/2022 63406272 Billing Error Waive balance $200.00 5/11/2022 9/27/2021 62583162 Deceased Waive balance $200.00 5/11/2022 10/10/2021 62692557 FRALS Fee Waive remaining balance $550.00 5/24/2022 10/15/2021 62734512 Billing Error Incorrect address. $0.00 5/25/2022 6/13/2021 61516295 Billing Error Bill Insurance.$0.00 5/26/2022 5/16/2021 61203672 Billing Error Waive balance $76.00 6/2/2022 1/30/2022 63647890 CC App CC App Approved / Balance waived $200.00 6/7/2022 2/25/2022 63759546 Mistaken call Waive balance $550.00 6/10/2022 9/10/2021 62421179 Billing Error Waive balance $100.00 6/13/2022 4/20/2020 56864963 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$495.43 6/13/2022 3/9/2022 63839089 CC App CC App Approved / Balance waived $200.00 6/13/2022 9/15/2021 62469524 Hardship Send CC App to patient $0.00 6/13/2022 11/8/2021 62925896 VOC Victim of Crime / Balance waived $550.00 6/13/2022 8/27/2021 62280487 Billing Error Waive balance $2,999.00 6/13/2022 2/3/2021 60029416 FRALS Fee Waive balance $200.00 6/13/2022 3/8/2022 63832630 Lift Assist Only Waive balance $550.00 6/13/2022 1/27/2022 63647201 Mistaken call Waive balance $1,056.63 6/15/2022 3/18/2022 63902331 CC App CC App Approved / Balance waived $200.00 6/15/2022 10/30/2021 62850353 VOC Victim of Crime / Balance waived $550.00 6/15/2022 11/18/2019 54981466 Billing Error Waive balance $2,643.78 6/16/2022 2/4/2022 63649162 FRALS Fee Waive balance $0.00 6/17/2022 2/18/2022 63711382 CC App CC App Denied / Offer PP $0.00 6/24/2022 9/10/2021 62421134 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$0.00 6/24/2022 2/9/2022 63650512 Auto Accident bill auto Insurance if they do not pay then waive balance.$0.00 6/24/2022 7/15/2018 48720550 CC App CC App Approved / Balance waived $2,406.08 6/24/2022 11/11/2021 62947045 Billing Error Waive balance $50.00 6/24/2022 2/15/2022 63685790 Deceased Waive balance $200.00 6/24/2022 2/1/2022 63648469 Lift Assist Only Waive balance $550.00 6/27/2022 2/8/2022 63650241 CC App CC App Denied / Offer PP $0.00 6/29/2022 12/20/2021 63254891 CC App CC App Approved / Balance waived $141.36 6/29/2022 1/12/2021 59792151 CC App CC App Denied / Offer PP $0.00 6/29/2022 2/5/2022 63649355 Deceased Waive balance $2,565.00 6/29/2022 11/29/2020 59305186 Lift Assist Only Waive balance $520.00 6/29/2022 8/26/2021 62270498 Lift Assist Only Waive balance $550.00 7/5/2022 1/9/2022 63413106 VOC Waive balance $550.00 7/5/2022 12/19/2021 63237708 Lift Assist Only Waive balance $1,056.63 7/5/2022 12/26/2018 50795796 Billing Error Waive balance $2,406.08 7/5/2022 7/11/2021 61818089 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$506.63 7/5/2022 7/11/2021 61818091 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$506.63 7/5/2022 11/24/2021 63048683 CC App CC App Denied / Offer PP $0.00 7/6/2022 9/10/2021 62421134 Lift Assist Waive balance $550.00 7/8/2022 10/11/2021 62700836 Hardship Send CC App to patient $0.00 7/13/2022 8/5/2019 53659314 FRALS Fee Waive remaining balance $2,478.27 7/13/2022 6/27/2021 61662149 Mistaken Call Waive balance $550.00 7/13/2022 9/25/2021 62564859 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$550.00 7/13/2022 9/30/2021 62608028 FRALS Fee Waive remaining balance $200.00 7/13/2022 11/28/2021 63072574 Mistaken call Waive balance $550.00 7/13/2022 11/28/2021 63072638 Billing Error Waive balance $550.00 7/13/2022 1/12/2022 63440570 Deceased No Treatment No Transport / Pronouced On Scene - Waive balance.$2,565.00 7/19/2022 7/12/2020 57732664 Billing Error Waive balance $520.00 7/19/2022 10/6/2020 58715784 Billing Error Waive balance $200.00 7/19/2022 10/5/2021 62653674 CC App CC App Approved / Waive balance $550.00 7/19/2022 12/12/2021 63182993 Billing Error Waive balance $150.00 7/20/2022 7/16/2021 61865215 CC App CC App Approved / Waive balance $3,805.00 7/21/2022 8/29/2021 62309209 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$0.00 7/21/2022 2/9/2022 63650501 Hardship Send CC App to patient $0.00 7/25/2022 10/24/2019 54682587 Hardship Send CC App to patient $0.00 7/25/2022 12/31/2020 59658734 FRALS Fee Waive remaining balance $123.30 7/25/2022 9/4/2020 58380564 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$520.00 7/25/2022 12/30/2020 59652466 Deceased Waive balance $121.17 7/25/2022 4/30/2021 61017460 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$2,718.00 7/25/2022 11/27/2021 63068762 Lift Assist Only Waive balance $550.00 7/27/2022 1/14/2022 63455172 Billing Error Rebilled insurance $0.00 8/30/2022 9/2/2020 58330315 Hardship Send CC App to patient $0.00 9/7/2022 7/24/2019 53502535 Billing Error Waived $2,809.29 9/7/2022 7/24/2019 53502534 Billing Error Waive balance $2,809.29 9/13/2022 8/5/2019 53659314 CC App CC App Approved / Balanced waived $2,478.27 9/22/2022 7/4/2021 61745802 CC App CC App Approved / Balanced waived $2,642.51 9/22/2022 12/16/2021 63215653 Dispute Waived $550.00 9/22/2022 1/26/2022 63646852 Billing Error Waived $550.00 9/22/2022 1/24/2022 63641260 Billing Error Waive balance $2,689.00 9/26/2022 1/13/2021 59808193 CC App CC App Approved / Balance waived $2,718.00 9/26/2022 12/17/2021 63224330 Hardship Send CC App to patient $0.00 10/5/2022 3/15/2022 63880336 Mistaken call Waive balance $550.00 10/5/2022 9/24/2021 62556714 Hardship Send CC App to patient $0.00 10/5/2022 1/4/2022 63381045 CC App CC App Approved / Balance waived $2,597.89 10/11/2022 10/20/2020 58865228 CC App CC App Incomplete - Needs to submit tax returns $0.00 10/11/2022 9/2/2021 62343795 Auto Accident Waive balance $1,056.63 10/11/2022 3/30/2021 60667003 Deceased Waive balance $3,296.40 10/11/2022 3/10/2022 63846111 Mistaken call Waive balance $550.00 10/11/2022 6/20/2021 61587416 Billing Error Waive balance $495.69 10/11/2022 2/2/2021 60013715 Deceased Waive balance $3,209.40 10/11/2022 3/17/2021 60512434 Auto Accident Waive balance $953.40 10/11/2022 12/28/2019 55458155 Billing Error Waive balance $2,533.44 10/24/2022 11/24/2021 63048730 Hardship Waive FRALS, Remoce from Collections, Send CC App for balance.$506.63 10/24/2022 3/19/2022 63908508 Auto Accident Waive balance $550.00 10/24/2022 10/30/2021 62850335 Auto Accident Waive balance $550.00 10/24/2022 10/16/2021 62739402 Auto Accident Waive $550.00 10/24/2022 7/11/2021 61818120 Billing Error Waive / Remove from collections $3,195.63 10/24/2022 12/4/2019 55180093 Billing Error Waive / Remove from collections $351.53 10/24/2022 2/9/2022 63650512 Auto Accident Waive $1,056.63 10/24/2022 1/26/2022 63646898 Auto Accident Waive $550.00 10/24/2022 12/13/2019 55294414 Billing Error Waive $3,305.82 10/24/2022 7/18/2022 AC ID# 27147 CC App Waive $506.63 10/24/2022 8/27/2021 62280487 CC App Waive balance $2,999.00 10/24/2022 2/16/2022 63715877 Lift Assist Only Waive $1,056.63 10/24/2022 6/16/2022 AC ID# 19153 CC App Waive $265.00 10/24/2022 10/16/2020 58818547 Auto Accident Waive balance $953.40 10/24/2022 3/10/2021 60430115 Hardship Send CC App to patient $0.00 10/26/2022 12/4/2021 63128992 Lift Assist Only Waive balance $1,056.63 10/26/2022 3/5/2022 63810581 Mistaken call Waive balance $550.00 10/26/2022 1/5/2022 63384251 CC App CC App Approved / Waive balance $2,627.00 11/2/2022 5/14/2022 10685 CC App CC App Approved, waive balance $3,752.79 11/3/2022 7/10/2019 53311675 Billing Error Waive balance $2,698.95 11/3/2022 1/8/2021 59754645 Billing Error Waive balance $5,900.00 11/3/2022 6/29/2021 61685410 Billing Error Waive balance $2,875.00 11/3/2022 8/25/2021 62260009 Hardship Send CC App to patient $0.00 11/3/2022 3/13/2022 63870668 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$1,056.53 11/4/2022 7/11/2018 48676673 Billing Error Waive remaining balance $200.00 11/7/2022 8/15/2022 33557 Billing Error Waive balance $200.00 11/8/2022 12/31/2017 46198122 FRALS Fee Waive remaining balance $200.00 11/8/2022 12/31/2017 46208768 VOC Waive balance $287.00 11/8/2022 12/2/2017 46369834 FRALS Fee Waive remaining balance $123.37 11/8/2022 12/31/2021 63342834 CC App CC App Approved / Waive balance $550.00 11/8/2022 1/18/2022 63639779 FRALS Fee Waive remaining balance $200.00 11/8/2022 1/19/2022 63640101 Lift Assist Only Waive balance $550.00 11/9/2022 12/21/2018 50748164 Billing Error Waive balance $107.81 11/9/2022 2/28/2020 56264823 FRALS Fee Waive remaining balance $111.57 11/9/2022 5/12/2020 57073715 Billing Error Waive balance $2,588.61 11/9/2022 9/7/2020 58382218 Billing Error Waive balance $2,544.00 11/9/2022 3/5/2022 63810572 CC App CC App Approved / Waive balance $550.00 11/9/2022 3/29/2022 63972976 Hardship Send CC App to patient $0.00 11/10/2022 12/29/2016 41336769 Hardship Send CC App to patient $0.00 11/10/2022 12/31/2017 46198102 FRALS Fee Waive remaining balance $200.00 11/10/2022 3/9/2019 51693393 Hardship Send CC App to patient $0.00 11/10/2022 12/5/2019 55198261 Billing Error Waive balance $2,809.29 11/10/2022 1/3/2020 55559154 Billing Error Waive balance $2,754.12 11/12/2022 3/18/2021 60528253 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$520.00 11/17/2022 3/30/2021 60672588 Billing Error Waive balance / remove from collections $2,892.00 11/17/2022 9/8/2020 58382380 Hardship Send CC App to patient $0.00 11/17/2022 11/15/2020 59153910 Billing Error Waive balance $2,718.00 11/17/2022 11/28/2020 59291474 Billing Error Waive balance $2,718.00 11/17/2022 9/18/2021 62512825 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$550.00 11/18/2022 4/21/2022 3647 Billing Error Waive balance $550.00 11/18/2022 5/10/2022 8148 CC App CC App Incomplete - Needs to submit tax returns $0.00 11/19/2022 3/30/2021 60672588 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$2,892.00 11/20/2022 12/31/2017 46198107 FRALS Fee Waive remaining balance $50.00 11/21/2022 1/27/2021 59961099 Hardship Send CC App to patient $0.00 12/2/2022 1/27/2021 59961099 CC App CC App Approved, waive balance $511.02 12/6/2022 12/7/2021 63149238 CC App CC App Approved / Waive balance $775.53 12/7/2022 8/12/2021 62112695 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$2,689.00 12/7/2022 11/24/2021 63048730 CC App CC App Incomplete - Needs to submit tax returns $0.00 12/8/2022 11/15/2020 59153919 Auto Accident Bill Auto Insurance if they do not pay then waive balance.$520.00 12/9/2022 5/7/2019 52468281 Billing Error Waive balance and remove from collections $2,478.27 12/9/2022 8/8/2020 58052584 Billing Error Waive balance and remove from collections $3,356.00 12/9/2022 1/1/2021 59675292 Billing Error Waive balance $3,182.00 12/12/2022 1/8/2021 59754536 Billing Error Waive balance $2,892.00 12/12/2022 8/12/2020 58088821 Billing Error Waive balance $3,470.40 12/12/2022 11/27/2020 59281657 Billing Error Waive balance $200.00 12/12/2022 9/20/2021 62516014 CC App CC App Approved / Waive balance $2,813.00 12/12/2022 10/30/2022 64411 Deceased No Treatment No Transport / Pronouced On Scene - Waive balance.$3,207.58 12/17/2022 12/15/2021 63210318 Billing Error Waive balance / remove from collections $2,565.00 12/19/2022 6/19/2021 61577928 Billing Error Waive balance $2,937.00 $324,229.91