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ORANGE COUNTY HEALTH DEPARTMENT <br /> Board of Health Policy and Procedures Manual <br /> Section I: Board Adopted Policies <br /> Policy B: Fee and Eligibility Policy <br /> Reviewed by: Financial Review Committee,Health Director <br /> Approved by: Board of Health,Health Director <br /> G. When the client is unable to pay in full at the time services are rendered,a payment plan <br /> is established, and the client must sign a"Payment Agreement Form"(Attachment D) <br /> except for minimum-fee or flat-fee charges. Client must then make a payment in any <br /> amount in order to activate the payment plan. <br /> H. When a client requests"no mail", discussion of payment of outstanding debt shall occur <br /> at the time the service is rendered. A remark regarding"no mail"is entered into the <br /> medical data system. No letters or other correspondence concerning insurance or past <br /> due accounts will be sent to any client that requests"no mail". Reasonable efforts will be <br /> made to collect charges without jeopardizing client confidentiality. <br /> I. The Billing Cycle for the Health Department(by Division)is as follows: <br /> 1. Personal Health Division <br /> a. Billing statements will be sent no more than three days after charges post to client ledger. <br /> Statements will be sent to clients for the next two consecutive months for balances due. <br /> After three consecutive months with a past due balance,accounts will be forwarded to the <br /> County Attorney Office and pursued through debt set-off in accordance with the county <br /> policy. Accounts with a balance of less than$50 will remain delinquent until paid or <br /> written-off. <br /> 2. Dental Health Divisions <br /> a. Bill statements will be sent monthly by the tenth of the month for two months <br /> after services have been rendered indicating a statement of balance due. Every <br /> quarter, all accounts with a balance$50 or more that are more than 60 days past <br /> due will be forwarded to the County Attorney Office and pursued through debt <br /> set-off in accordance with the county policy. Accounts with a balance of less than <br /> $50 will remain delinquent until paid or written-off. <br /> b. If a debt is not paid,when the client attempts to make another appointment,the <br /> client will be told they have a previous balance, and they must have an active <br /> payment plan or make a payment at time of next service except for Family <br /> Planning clients. <br /> 3. Environmental Health Division <br /> a. An initial invoice for additional or miscellaneous Wastewater Treatment <br /> Management Program(WTMP) charges is mailed with the inspection form. <br /> b. If no payment is received within 90 days, a second notice is mailed. <br /> c. If no payment is received after an additional 30 days and the debt is $50 or <br /> greater,the account is forwarded to the County Attorney's Office,which will <br /> pursue it through the county's debt set-off procedure. <br /> d. Debt owed by a corporation or non-individual is dissolved upon sale of property. <br /> e. The county attorney's office has deemed debt that becomes part of an estate will <br /> become dissolved. <br /> f. If the client presents and voluntarily wishes to pay on the account, any amount <br /> the client offers will be accepted, documented in the client file, and a receipt will <br /> be provided. <br /> Page 7 of 8 <br /> Original Effective Date:January 25,2001 <br /> Revision Dates:, 4/2016,9/2018,10/2019,10/2020 <br />