Explanation
BACKGROUND: The Board of Health bills third party payors for client services provided in its clinics. TriZetto Provider Solutions, LLC and NextGen Healthcare automate the patient visit and electronically submit a claim to the respective insurance company. TriZetto is the medical clearing house between NextGen and the client’s insurance. This ordinance authorizes the Board of Health to modify an existing contract with TriZetto Provider Solutions, LLC for electronic data interchange services for the period of October 1, 2022 through September 30, 2023, in scope of services only to allow for insurance eligibility discovery.
Emergency action is required to ensure the continued operation of electronic data interchange services.
FISCAL IMPACT: There is no additional funding required for this modification.
Title
To authorize the Board of Health to modify an existing contract with TriZetto Provider Solutions, LLC for the provision of electronic data interchange services for the period of October 1, 2022 through September 30, 2023; and to declare an emergency. ($0.00)
Body
WHEREAS, Columbus Public Health has a current contract with TriZetto Provider Solutions, LLC; and
WHEREAS, in order to ensure continued and additional services provisions, it is necessary to modify the scope of services of an existing contract with TriZetto Provider Solutions, LLC for the provision of electronic data interchange services to allow for insurance eligibility discovery; and
WHEREAS, the contract period is October 1, 2022 through September 30, 2023; and
WHEREAS, no additional funding is required for this modification; and
WHEREAS, an emergency exists in the usual daily operation of Columbus Public Health in that it is immediately necessary to authorize the Board to modify an existing contract with TriZetto Provider Solution1s, LLC to ensure the continued operation of Billing Services, for the immediate preservation of the public health, peace, property, safety and welfare; NOW, THEREFORE,
BE IT ORDAINED BY THE COUNCIL OF THE CITY OF COLUMBUS:
SECTION 1. That the Board of Health is hereby authorized and directed to modify an existing contract with TriZetto Provider Solutions, LLC for the provision of electronic data interchange services, for the period of October 1, 2022 through September 30, 2023.
SECTION 2. That this modification is in accordance with relevant provisions of Chapter 329 of the Columbus City Codes.
SECTION 3. That the City Auditor is authorized to make any accounting changes to revise the funding source for all contracts or contract modifications associated with this ordinance.
SECTION 4. That for reasons stated in the preamble hereto, which is hereby made a part hereof, this ordinance is hereby declared to be an emergency measure and shall take effect and be in force from and after its passage and approval by the Mayor, or ten days after passage if the Mayor neither approves nor vetoes the same.