This information is for medical providers only. Below you will find some forms used by the providers in providing required information to Ada County Indigent Services. Please print the forms as needed and fill them out.
Please remember that Andrea DeGiulio is our Ada County Indigent Services provider liaison. If you have questions about
- Bills
- Billing
- Whether a bill has been received or paid
please contact only Andrea DeGiulio.
She can be reached at:
Additional Provider Request
Physicans Medical Statement
Cancer Treatment Plan
Treatment Plan
ADA COUNTY INDIGENT SERVICES POLICY FOR SENDING/RECEIVING BILLS
Effective July 1, 2009
The process of handling and tracking unsolicited and improperly marked bills received by Ada County Indigent Services has caused this Department to invest a large amount of human resources toward tracking these bills, trying to decide which file they should go to, and some delay in paying providers because these bills are lost or wrongly filed. We estimate that we utilize at least three quarters of a full-time position managing these bills alone.
We also regularly receive duplicate bills from providers. Every bill we receive requires us to spend an inordinate amount of time researching our files to determine if we have a case for the named patient or whether we have received the bill. Many times after all this work we find that the unsolicited bill is in fact a duplicate. We can no longer sustain this expense.
Effective July 1, 2009, the following policy will be implemented at Ada County Indigent Services regarding the receipt of bills from medical providers on or after this date:
PROVIDERS SHOULD SEND BILLS ONLY IF:
- You receive a Status Update requesting bills
- In this instance, DO NOT send originals SEND COPIES ONLY
- When sending bills in this instance, they MUST be addressed to the Deputy Clerk whose name appears on the Status Update.
- If the bills are not so addressed, they will be deemed as sent in error and will be shredded, and will not be documented as having been received.
- You receive an Initial Determination of Approval
- By law, you then have 60 days to submit ORIGINAL bills
- When sending bills in this instance, they MUST be addressed to:
Ada County Indigent Services
Attention BILLING
252 E. Front St, Ste. 199
Boise, ID 83702
- When sending bills in this instance, you must include the Case Number on your bills. The case number is the 7 digit number found on the first page of the "Clerk's Findings and Initial Determination"
Please note the following:
- Any bills received other than as listed above will be deemed as sent in error, will not be documented as received and will be shredded.
- If we receive bills from a provider who is not listed on an application, we will not advise you that you are not on the application and the bills will be shredded.
- If we receive bills from a provider for which we have no application on file, the bills will be shredded.
- All providers listed on the application - or added by the patient - will receive a Status Update requesting copies of bills.
- All providers approved by the Board of County Commissioners will receive a copy of the Initial Determination Approval.
- The Initial Determination advises the approved providers where to send the bills and to send only the ORIGINALS
- If you FAX the bills in response to a Status Update, please be certain that the Deputy Clerk's name is on the cover sheet The name of the requesting Deputy Clerk is clearly found on the Status Update form. If it is not on the cover sheet, we will deem these bills sent in error and they will be shredded.
- Bills will NOT be requested and may NOT be sent or received via e-mail.
- Sending us an original bill in response to a Status Update does not constitute compliance with Idaho Code 31-3519 which requires approved providers to submit originals within 60 days of approval - because at that point in time there has been no approval. Upon approval of the application, you will be required to send the original bills again as required by this statute.
- Original bills received in response to a Status Update will not be deemed as "received" by our billing division.
- Again, when responding to a Status Update, send only "copies" of the bills.
MENTAL HEALTH CASES
- This policy will apply equally to Voluntary Mental Health Applications also.
- For Involuntary Mental Health matters, provider should send bills only when they receive a Court Order ordering Ada County to pay the bills. These bills, together with a copy of the Court Order must be sent to the Department Address listed above ATTENTION: INVOLUNTARY MENTAL HEALTH CLERK.
STATUS UPDATE FORM
As you know, the Status Update Form is the form Indigent Services uses to request medical records and bills from providers. You will see several reminders on this form that we only wish to receive COPIES – NOT ORIGINALS at this stage of the application process.
Also, the form has the name of the assigned Service Worker. This is the person whose name must appear on the envelope in which you send the medical records and bills in response to the Statute Update request.
We believe this new policy will save time and money for the providers and their billing departments because it should eliminate the waste created when providers send unsolicited bills and bills that are not needed for the processing of our cases.