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Town of Salem, NH
Rockingham County
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Table of Contents
Table of Contents
Code
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[HISTORY: Adopted by the Town of Salem as indicated in article histories. Amendments noted where applicable.]
[Adopted by the 1963 Town Meeting; amended by the 1992 Town Meeting (Ch. 129, Art. I, of the 1995 Code)]
The Board of Selectmen shall establish reasonable fees for the use of the Town ambulance services.
[Adopted by the Board of Selectmen 3-27-1995; amended 11-18-1997 (Ch. 129, Art. II, of the 1995 Code)]
This policy is adopted pursuant to the authority granted to the Board of Selectmen by the Town Meeting on March 14, 1992. This policy applies to all transported users or responsible parties charged at a consistent rate as currently in effect per the Ambulance Fee Schedule as adopted by the Board of Selectmen pursuant to § 185-4A.
[1]
Editor's Note: Amended at time of adoption of Code (see Ch. 1, General Provisions, Art. I).
This policy is applicable to all users or responsible parties, regardless of the existence of third party insurance coverage, except as provided below:
A. 
Town employees injured while in the performance of their regularly assigned duties.
B. 
Mutual aid community Fire Department employees injured in the line of duty.
C. 
Mutual aid agreements.
[1]
Editor's Note: Amended at time of adoption of Code (see Ch. 1, General Provisions, Art. I).
A. 
The Board of Selectmen shall establish a fee schedule to be charged for the use of the Fire Department ambulance service. This fee schedule is incorporated into this policy by reference and shall be reviewed on an annual basis.[1]
[1]
Editor's Note: Amended at time of adoption of Code (see Ch. 1, General Provisions, Art. I).
B. 
All patients that are transported by the Salem Fire Department ambulance shall be billed for the service.
C. 
Whenever possible, the Town's ambulance billing service shall obtain insurance information from the patient and shall submit a bill directly to the insurance company.
D. 
The Town shall accept assignment of all balances due from the insurance companies.
E. 
A patient shall be exempt from payment for ambulance service if he/she certifies to the Town's billing service that his/her family income is equal to or less than the current Hill-Burton income levels.
F. 
After receiving payment from third-party insurers, the Town's billing service shall bill the patient for the patient copayment portion of the ambulance fee.
G. 
Initial thirty-, sixty- and ninety-day bills will be issued on outstanding balances. This will be followed by a fourth and final dunning notice at 90 days. At 120 days, the account will be reported to a credit bureau.
[Amended by the 1997 Town Meeting]
H. 
Credit bureau reporting may be foregone in lieu of a payment plan that provides repayment of at least $10 per month, every month, until the balance is paid in full.
[Amended by the 1997 Town Meeting]
I. 
Requests for write-offs shall be submitted to the Finance Department and forwarded to the Board of Selectmen for approval. Each request will detail collection efforts and reasons for the write-off request.
Each multiple transport patient requiring definitive care beyond observation and monitoring of vital signs shall be billed at the single transport rate. In cases where additional resources are not required, the flat fee and mileage charges shall be divided equally by the parties being transported. Assignment of these charges shall be at the discretion of the Fire Chief, subject to review by the Board of Selectmen.