Project Information

Bid Title

AMBULANCE BILLING SERVICES

Issuing Agency

East Hanover township

Location

New Jersey

Published Date

Jun 19, 2026

Closing Date

Jul 1, 2026

Government Level

State & Local

Status

Closed

Original Source

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Bid Documents

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Project Description

Notices > Request for Qualifications AMBULANCE BILLING SERVICES Posted: 06/19/2026 - 11:20 AM Due By: 07/01/2026 - 11:00 AM

**PLEASE NOTE**

In person drop-off hours are Monday- Friday between the hours of 9:00AM - 4:00PM.

All submissions must be handed in directly to the Agent or an employee of the Municipality along with delivery confirmation.

We are NOT RESPONSIBLE for deliveries.

TOWNSHIP EAST HANOVER

REQUEST FOR QUALIFICATIONS FOR

AMBULANCE BILLING SERVICES

Township of East Hanover

Contract Term

August1, 2026 through December 31, 2028

SUBMISSION DEADLINE

July 1, 2026

11:00 A.M.

ADDRESS ALL PROPOSALS TO:

DEPARTMENT OF ADMINISTRATION

411 Ridgedale Ave

East Hanover, New Jersey 07936

ATTN:

Joseph Tempesta, Township Administrator

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**PLEASE NOTE**

In person drop-off hours are Monday- Friday between the hours of 9:00AM - 4:00PM.

All submissions must be handed in directly to the Agent or an employee of the Municipality along with

delivery confirmation.

We are NOT RESPONSIBLE for deliveries.

TOWNSHIP EAST HANOVER

REQUEST FOR QUALIFICATIONS FOR

AMBULANCE BILLING SERVICES

Township of East Hanover

Contract Term

August1, 2026 through December 31, 2028

SUBMISSION DEADLINE

July 1, 2026

11:00 A.M.

ADDRESS ALL PROPOSALS TO:

DEPARTMENT OF ADMINISTRATION

411 Ridgedale Ave

East Hanover, New Jersey 07936

ATTN:

Joseph Tempesta, Township Administrator

GENERAL INFORMATION & SUMMARY

ORGANIZATION REQUESTING PROPOSAL

Township of East Hanover

411 Ridgedale Ave

East Hanover, NJ 07936

Contact Person: Joseph Tempesta, Township Administrator

TERM OF CONTRACT

August 1, 2026 – December 31, 2028

PURPOSE OF REQUEST

The Township of East Hanover is requesting proposals from qualified individuals and firms to

provide Ambulance Billing Services of a specialized nature to the Township. Proposals will be

evaluated in accordance with the criteria set forth in this RFQ. One or more individuals/firms may

be selected to provide services.

CONTRACT FORM

The successful proposers shall be required to execute the Township’s form contract, which

includes indemnification, insurance, termination and licensing provisions. A complete copy of a

draft Township form contract is available upon request.

It is also agreed and understood that the acceptance of the final payment by Contractor

shall be considered a release in full of all claims against the Township arising out of, or by reason

of, the work done and materials furnished under this Contract.

DETAILED REQUIREMENTS OF THE

REQUEST FOR QUALIFICATIONS FOR AMBULANCE BILLING SERVICES

Township of EAST Hanover Fact and Figures – T h e T o w n s h i p of East Hanover is a municipal

Governmental entity. The Township was incorporated in 1928. The legislative authority and

responsibilities of the Township of East Hanover are vested in the elected Mayor, part of the five-

member Council. The Governing Body sets policy, adopts the operating and capital budgets for the

Township, enacts ordinances and sets the direction of how the Township of East Hanover will provide

government services. The mayor is the Township’s chief executive officer and conducts the policies

adopted by the Council.

1. NATURE/ SCOPE OF SERVICES – The Township of East Hanover is requesting

proposals from qualified individuals and firms to provide Ambulance Billing Services.

A) APPOINTMENT

The client hereby appoints the Contractor as the claim’s collector and administrator for

the Clients third party ambulance transportation collection, recovery and subrogation

programs, for Government and Private Insurance Carriers only (hereinafter called the

“plan”), and Contractor accepts such appointment.

B) CLAIMS ADMINISTRATIVE AND RELATED SERVICES

To the best of its abilities or as otherwise defined herein, Contractor shall;

a) Receive data from Client on a weekly basis as to the prior week’s ambulance services

provided to third parties, in a format agreed upon by the parties to this Agreement, which

data shall include but not limited to:

$ Name(s) and home address (es) of person(s) treated and/or transported

$ Date(s) of birth thereof

$ Social Security number(s) thereof

$ Place of collection (including zip code), and destination of ambulance transport

$ Odometer reading when patient is placed in ambulance

$ Odometer reading upon arrival at hospital

$ Details as the medical necessity of the ambulance transportation, based upon all

Available information available to the East Hanover Fire Department/EMS/First

Aid Squad at the time of transportation.

$ Details to any insurance coverage available to each transportee, which might reasonably

be expected to cover part or all the cost of the transportation.

b) Investigate each reported claim and negotiate and/or co-ordinate the adjustment

and settlement of each claim by any other applicable insurance or billing(s) to the

transportee(s), by written request for reimbursement to the transportee(s) and /or their

insurer(s) and/or the hospital receiving the transportee (where required by contract with

Medicare or the Healthcare Finance Administration)

c) Upon receipt of reimbursement of such reimbursement, it total, record such

receipt, and transmit reimbursement check or checks, net of fees, directly to the designate

bank account for deposit. If partial, continue to attempt recovery of applicable balance,

per items b) through d) above.

d) Provide the Client with periodic weekly reports as to fines collected, or pending

collections.

C) CLIENT’S RESPONSIBILITY

a) Upon receipt of a 911 or similar request for ambulance treatment and/or

transportation, to ensure that all data necessary for the proper conduct of the contractor’s

duties (as defined herein) be promptly obtained and transmitted to Contractor in the

agreed manner.

b) In addition to other termination rights provided for below, in the event that the Client

shall fail to take any of the actions required of it anywhere in this Agreement, Contractor

shall have the right to terminate this agreement upon ninety (90) days written notice to the

client.

c) The client shall supply such additional information upon the request of the Contractor

as may be requested for the expeditious processing or collection of reimbursement.

d) If Ambulance run forms currently being used are not adequate, provide forms or

electronic data processing required by the contractor.

e) If (D) is necessary, provide the necessary training.

f) The Contractor shall supply, to the Client, two electronic portable devices (i.e. Microsoft

Surface/Apple iPad) to complete electronic data processing in the field at no cost to the

Client.

g) Provide data to the State of New Jersey Office of Emergency Medical Services or some

other Government Agency requesting Ambulance Data as per TOWNSHIP OF EAST

HANOVER.

2. STANDARD REQUIREMENTS OF TECHNICAL PROPOSAL - Proposers

should submit a technical proposal which contains the following:

A. The name of the proposer, the principal place of business and, if different, the place

where the services will be provided.

B. The education, qualifications, experience, and training of all people who would be

assigned to provide services along with their names and titles.

C. A listing of all other engagements where services of the types being proposed were

provided in the past five (5) years. This should include other Township governments

and other levels of government. Contact information for the recipients of similar

services must be provided. The Township may obtain references from any of the

parties listed.

A description of all other areas of Ambulance Billing Services of the proposer, with

emphasis on a description of those services of interest to a Township government client.

D. Provide examples of cost saving measures realized by your clients based upon your

recommendations.

E. Statement that neither the firm nor any individuals assigned to this engagement

are

suspended, or otherwise prohibited from professional practice by any federal,

state, or

local agency.

F.

An Affirmative Action Statement (copy of form attached).

G.

A completed Non-Collusion Affidavit (copy of form attached).

H.

A statement that the proposer will comply with the General Terms and

Conditions required by the Township and enter into the Township’s standard

Professional Services Contract.

I.

A copy of the proposer’s Business Registration Certificate.

3. COST PROPOSAL - The Client agrees to pay Contractor as consideration for the

foregoing services a percentage of ambulance revenue fees collected for each 12-month period of

the contract.

A) TERM

This agreement shall have an initial term of approximately two and one-half years, commencing

on the date set forth above unless terminated by a written notice given by either party at least

ninety (90) days in advance in the term then in effect. In the event Contractor gives notice of its

intention to terminate, it agrees, upon the prompt written request of the client, to continue to

provide these services for a period of up to ninety (90) days.

MISCELLANEOUS

a) It is understood and agreed that claims first opened during this contract will be

administered to the conclusion of the contract period.

b) It is agreed that the Contractor may not sub-contract any and all services provided

under

Commodity Codes

• NAICS 541219Other Accounting Services
• NAICS 621910Ambulance Services

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