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Home My WebLink About20241818.tiffCun-iia & t Dt °44Z8' BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: EZCIairn Software Invoice and Terms DEPARTMENT: Human Services PERSON REQUESTING: Jamie Ulrich, Director, Human Services DATE: June 25, 2024 Brief description of the problem/issue: The Department of Human Services (DHS) is requesting to purchase a year's subscription for medical billing software with EZCIaim Software LLC. This software will allow the Home and Community Support Division to interface with the State Medicaid billing system for the Case Management Agency program. The term of the invoice will be from July 1, 2024 through July 1, 2025 and will allow for two (2) user licenses. The invoice and terms have been reviewed and approved by Information Services (Jacob Mundt) and Legal (B. Howell). What options exist for the Board? • Approval of the Invoice and Terms. • Deny approval of the Invoice and Terms. Consequences: There will not be an approved invoice for software licenses. Impacts: The Department will not have batch billing capabilities that will interface with the State Medicaid System. Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): Total cost: ➢ $3,216.00/year Pass -Around Memorandum; June 25, 2024^MS ID 84 8 //6-D) /-,) Col1W1+ lcL- 7/ / -1/3/Z� 2024-1818 Recommendation: • Approval of the Invoice and Terms and authorize the Chair to sign. Suaoort Recommendation Schedule Place on BOCC Aaenda Work Session Other/Comments: Perry L. Buck, Pro-Tem 4e Mike Freeman mE Scott K. James Kevin D. Ross, Chair Lori Saine Pass -Around Memorandum; June 25, 2024 - CMS ID 8428 Medical Billing Software Weld County of Colorado - New Deal Weld County of Colorado 1150 Cr Street, Greeley Greeley, CO 80631 United States Lesley Cobb cob bxxlkt$ welct,gov 970-400-6512 Jacob Mundt jmundt()weld.goe 970•-400-4000 Reference: 20 240619.1 630 4221 8 Quote created: June 19, 2024 Quote expires: July 19, 2024 Quote created by 50509 Martine' Sales Consultant smartinezezclaimtom +124f86500904 Comments from Susan Martinez Thank you for your interest in EZClaim, EZClaim has been helping thousands of people lout like you since 1997. Our software and services ore proven in the industry, and we look forward to providing solution that works for you. All communication will bo sent to you unless you notify EZClairn otherwise via ,ojej,,@ezclaim.com. If you have any questions or concerns, please contact us at 877-050-0904 or salesi$lezclairn.corn Products & Services Item & Description Quantity Unit Price Total EZClaim Billing lot User $1,908.00 / year EZClaim Billing users 02 -10 1 $1,308.00/year 31,908:001 year $1,308.00 /year ,go,A1--/U(U Annual subtotal $3216.00 Tota I $3,216.00 Purchase terms Annual term prepaid by check from Weld County of Colorado. Included Services: • Designated Onboarding Coach or self -serve option • Training during Onboarding • Daily backup of cloud data • Online and live support resources • Statement customized with your company logo • EZClaimPay (only pay merchant fees) • Storage Space:1 GB is included. $3/month for each additional GB Additional and Available Services" • Additional user licenses are $109.00 each monthly (unless otherwise noted) • Additional Company Files: $30/month when using Cloud (unless otherwise noted) • Staff training after the Onboarding Graduation will be available as recorded webinars. Individual training sessions are available with expert EZClaim Trainers at $125 per session, • Other Services: $200/hour (Example: Assistance with security assessments or anything else outside our standard Onboarding procedure.) • Practice Fusion Integration: $0.10 per superbill • BiliFlash Electronic Statements & payment Services have read and approve the Terms of Service and BAA listed in this :ink. Pricing does not reflect any applicable sales tax. Checks !payable and mailing information: EZCIaina Software LLC 540 Devall Drive Auburn, AL 36832 United States Current customers with a current card on file: You approve for EZC1aim to use that card. 'Prices subject to change Signature Before you sign this quote, an email must be sent to you to Verity ,,r identity Find your profile below to request a verification email ATTEST BY: 401 tothe B•a . -..14, Depi, CI i to th Boar/ i 11861 I Questions? Contact me BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Perry L Buck/ hair Pro -Tern 4111 Susan Martinez Sales Consultant smartinez©ezclaim.com 12486S00904 EZCIaim Software LLC 540 Devall Drive Auburn, AL 36832 United States JUL 0 3 2024 �o�� -/8/8 11. claim ABOUT TERMS OF SERVICE The following are the terms and conditions between you and EZClaim Software, LLC. EXHIBIT A BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement ("Agreement") is made and entered into as an integral part of the Services Agreement to which it is attached. 1, Definitions. Terms used, but not otherwise defined in this Agreement, shall have the same meaning as those terms in the Privacy Rule, Security Rule, and HITECH Act. a. Agent. "Agent" shall have the meaning as determined in accordance with the federal common law of agency. b. Breach. "Breach" shall have the same meaning as the term "breach" in 45 CFR §164,402. c. Business Associate. "Business Associate" shall mean a person or entity who, on behalf of a covered entity, performs or assists in performance of a function or activity involving the use or disclosure of individually identifiable health information, such as data analysis, claims processing or administration, utilization review, and quality assurance reviews, or any other function or activity regulated by the HIPAA Administrative Simplification Rules, including the Privacy Rule, Business associates are also persons or entities performing legal, actuarial, accounting, consulting, data aggregation, management, administrative, accreditation, or financial services to or for a covered entity where performing those services involves disclosure of individually identifiable health information by the covered entity or another business associate of the covered entity to that person or entity. d. Covered Entity. "Covered Entity" shall mean (1) health plans, (2) health care clearinghouses, and (3) health care providers who electronically transmit any health information in connection with transactions for which HHS has adopted standards. e. Data Aggregation. "Data Aggregation" shall have the same meaning as the term "data aggregation" in 45 CFR §164.501. f. Designated Record Set. "Designated Record Set" shall have the same meaning as the term "designated record set" in 45 CFR §164.501. g. Disclosure., "Disclosure" and "Disclose" shall have the same meaning as the term "Disclosure" in 45 CFR §160.103. h. Electronic Health Record. "Electronic Health Record" shall have the same meaning as the term in Section 13400 of the HITECH Act . i. Health CareOperations. "Health Care Operations" shall have the same meaning as the term "health care operations" in 45 CFR §164,501. j. HIPAA Rules. "HIPAA Rules" shall mean the Privacy. Security, Breach Notification, and Enforcement Rules at 45 CFR Part 160 and Part 164. k. HITECH Act. "HITECH Act" shall mean The Health Information Technology for Economic and Clinical Health Act, part of the American Recovery and Reinvestment Act of 2009 ("ARRA" or "Stimulus Package"), specifically DIVISION A: TITLE Xlil Subtitle 0 —Privacy, and its corresponding regulations as enacted under the authority of the Act. I, individual. "Individual" shall have the same meaning as the term "individual" in 45 CFR 5160.103 and shall include a person who qualifies as a personal representative in accordance with 45 CFR §154.5021g). m. Minimum Necessary. "Minimum Necessary" shall mean the Privacy Rule Standards found at §154,502(b) and §164,514(d)(1). n, Privacy Rule. "Privacy Rule" shall mean the Standards for Privacy of Individually Identifiable Health Information at 45 CFR Part 160 and Part 164, Subparts A and E. o. Protected Health Information. "Protected Health Information" shall have the same meaning as the term "protected health information" in 45 CFR §160.103, limited to the information created, received, maintained or transmitted by Business Associate on behalf of Covered Entity. p. Required By Law, "Required By Law" shall have the same meaning as the term "required by law" in 45 CFR §164.103, q. Secretary. "Secretary' shall mean the Secretor/ of the Department of Health and Human Services or his or her designee. r, Security Incident. "Security Incident' shall have the same meaning as the. term "Security incident" in in 45 CFR 5164.304. s. Security Rule. "Security Rule" shall mean the Standards for Security of Electronic Protected Health Information at 45 C.F.R. parts §160 and 6164, Subparts A and C. 1. Subcontractor, "Subcontractor" shall mean a person or entity "that creates, receives, maintains, or transmits protected health information on behalf of a business associate" and who is now considered a business associate, as the latter term is defined in in in 45 CFR §160.103.. u. Subject Matter. "Subject Matter" shall mean compliance with the HIPAA Rules and with the HITECH Act. v. Unsecured Protected Health Information. "Unsecured Protected Health Information" shah have the same meaning as the term "unsecured protected health information" in 45 :FR §164.402. vv. Use. "Use" shall have the same meaning as the term "Use" in 45 CFR §164.103 2. Obligations and Activities of Business Associate. a. Business Associate agrees to not Use or Disclose Protected Health Information other than as permitted or required by this Agreement or as Required By Law. b. Business Associate agrees to use appropriate safeguards to prevent Use or Disclosure of Protected Health information other than as provided for by this Agreement, Business Associate further agrees to implement administrative, physical and technical safeguards that reasonably and appropriately protect the confidentiality, integrity and availability of any electronic Protected Health Information, as provided for in the Security Rule and as mandated by Section 13401 of the HITECH Act. c. Business Associate agrees to mitigate, to the extent practicable, any harmful effect that is known to Business Associate of a Use or Disclosure of Protected Health Information by Business Associate in violation of the requirements of this Agreement. Business Associate further agrees to report to Covered Entity any Use or Disclosure of Protected Health Information not provided for by this Agreement of which it becomes aware, and in a manner as prescribed herein. d. Business Associate agrees to report to Covered Entity any Security incident, including all data Breaches or compromises, whether internal or external, related to Protected Health Information, whether the Protected Health information is secured or unsecured, of which Business Associate becomes aware. e. If the Breach, as discussed in paragraph 2(d), pertains to Unsecured Protected Health Information, then Business Associate agrees to report any such data Breach to Covered Entity within ten (101 business days of discovery of said Breach; all other compromises, or attempted compromises, of Protected Health Information shall be reported to Covered Entity within twenty (201 business days of discovery. Business Associate further agrees, consistent with Section 13402 of the HITECH Act, to provide Covered Entity with information necessary for Covered Entity t0 meet the requirements of said section, and in a manner and format to be specified by Covered Entity. f. If Business Associate is an Agent of Covered Entity, then Business Associate agrees that any Breach of Unsecured Protected Health information shall be reported to Covered Entity immediately after the Business Associate becomes aware of said Breach, and under no circumstances later than one (1) business day thereafter. Business Associate further agrees that any compromise, or attempted compromise, of Protected Health information,, other than a Breach of Unsecured Protected Health Information as specified in 2(e) of this Agreement, shall be reported to Covered Entity within ten (10) business days of discovering said compromise, or attempted compromise. g. Business Associate agrees to ensure that any Subcontractor, to whom Business Associate provides Protected Health Information, agrees to the same restrictions and conditions that apply through this Agreement to Business Associate with respect to such information. Business Associate further agrees that restrictions and conditions analogous to those contained herein shall be imposed on said Subcontractors via a written agreement that complies with all the requirements specified in 5164.554)e)(2), and that Business Associate shall only provide said Subcontractors Protected Health Information consistent with Section 13405(b) of the HITECH Act, Further, Business Associate agrees to provide copies of said written agreements to Covered Entity within ten (10) business days of a Covered Entity's request for same. h. Business Associate agrees to provide access, at the request of Covered Entity and during normal business hours, to Protected Health information in a Designated Record Set to Covered Entity or, as directed by Covered Entity, to an Individual, in order to meet Covered Entity's requirements under 45 CFR 5164.524, provided that Covered Entity delivers to Business Associate a written notice at least three (3) business days in advance of requesting such access. Business Associate further agrees, in the case where Business Associate controls access to Protected Health Information in an Electronic Health Record, or controls access to Protected Health Information stored electronically in any format, to provide similar access in order for Covered Entity to meet its requirements the HIPAA Rules and under Section 13405(c) of the HITECH Act, These provisions do not apply if Business Associate and its employees or Subcontractors have no Protected Health Information in a Designated Record Set of Covered Entity, i. Business Associate agrees to make any amendments) to Protected Health Information in a Designated Record Set that Covered Entity directs or agrees to pursuant to 45 CFR §164,.526, at the request of Covered Entity or an Individual. This provision does not apply if Business Associate and its employees or Subcontractors have no Protected Health Information from a Designated Record Set of Covered Entity. j, Unless otherwise protected or prohibited from discovery or disclosure by law, Business Associate agrees to make internal practices, books, and records, including policies and procedures (collectively "Compliance information"), relating to the Use or Disclosure of Protected Health Information and the protection of same, available to the Covered Entity or to the Secretary for purposes of the Secretary determining Covered Entity's compliance with the HIPAA Rules and the HITECH Act. Business Associate further agrees, at the request of Covered Entity, to provide Covered Entity with demonstrable evidence that its Compliance information ensures Business Associate's compliance with this Agreement over time. Business Associate shall have a reasonable time within which to comply with requests for such access and/or demonstrable evidence, consistent with this Agreement, In no case shall access, or demonstrable evidence, be required in less than five (5) business days after Business Associate's receipt of such request, unless otherwise designated by the Secretary. k. Business Associate agrees to maintain necessary and sufficient documentation of Disclosures of Protected Health Information as would be required for Covered Entity to respond to a request by an Individual for an accounting of such Disclosures, in accordance with 45 CER §154.528. I, On request of Covered Entity, Business Associate agrees to provide to Covered Entity documentation made in accordance with this Agreement to permit Covered Entity to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 C.F.R. §1 64,528, Business Associate shall provide said documentation in a manner and format to be specified by Covered Entity. Business Associate shall have a reasonable time within which to comply with such a request from Covered Entity and in no case shall Business Associate be required to provide such documentation in less than three (3) business days after Business Associate's receipt of such request. m. Except as provided for in this Agreement, in the event Business Associate receives an access, amendment, accounting of disclosure, or other similar request directly from an Individual, Business Associate shall redirect the individual to the Covered Entity. re To the extent that Business Associate carries out one or more of Covered tntit 's obligations under the HIPAA Rules, the Business Associate must comply with all requirements of the HIPAA Rules that would be applicable to the Covered Entity, o. A Business Associate must honor all restrictions consistent with 45 C.F.R. t154.522 that the Covered Entity or the Individual makes the Business Associate aware of, including the Individual's right to restrict certain disclosures of protected health information to a health plan where the individual pays out of pocket in full for the healthcare item or service, in accordance with HITECH Act Section 13405(a), 3. Permitted Uses and Disclosures by Business Associate. a, Except as otherwise limited by this Agreement, Business Associate may make any Uses and Disclosures of Protected Health Information necessary to perform its services to Covered Entity and otherwise meet its obligations under this Agreement, if such Use or Disclosure would riot violate the Privacy Rule, or the privacy provisions of the HITECH Act, if done by Covered Entity. All other Uses or Disclosures by Business Associate not authorized by this Agreement, or by specific instruction. of Covered Entity, are prohibited. b. Except as otherwise limited in this Agreement, Business Associate may Use Protected Health Information for the proper management and administration of the Business Associate or to carry out the legal responsibilities of the Business Associate. c. Except as otherwise limited in this Agreement, Business Associate may Disclose Protected Heaith Information for the proper management and administration of the Business Associate, provided that Disclosures are Required By Law, or Business Associate obtains reasonable assurances from the person to whom the information is Disclosed that it will remain confidential and used, or further Disclosed, only as Required By Law, or for the purpose for which it was Disclosed to the person, and the person notifies the Business Associate of any instances of which it is aware in which the confidentiality of the information has been breached, d. Except as otherwise limited in this Agreement, Business Associate may Use Protected Health Information to provide Data Aggregation services to Covered Entity as permitted by 45 CFR §1554,504(e)(2)(i)(B). Business Associate agrees that such Data Aggregation services shall be provided to Covered Entity only wherein said services pertain to Health Care Operations. Business Associate further agrees that said services shall not be provided in a manner that would result in Disclosure of Protected Health Information to another covered entity who was not the originator and/or lawful possessor of said Protected Health Information. Further, Business Associate agrees that any such wrongful Disclosure of Protected Health information is a direct violation of this Agreement and shall be reported to Covered Entity immediately after the Business Associate becomes aware of said Disclosure and, under no circumstances, later than three (3) business days thereafter. e. Business Associate may Use Protected Health Information to report violations of law to appropriate Federal and State authorities; consistent with §164.502(j)(1). f. Business Associate shall make Uses. Disclosures, and requests for Protected Health Information consistent with the Minimum Necessary principle as defined herein 4. Obligations and Activities of Covered Entity. a. Covered Entity shail notify Business Associate of the provisions and any lirnitation(s) in its notice of privacy practices of Covered Entity in accordance with 45 CFR §154.520. to the extent that such provisions and limitation(s may affect Business Associate's Use or Disclosure of Protected Health Information. b. Covered Entity shall notify Business Associate of any changes in, or revocation of. permission by an Individual to use or disclose Protected Health Information, to the extent that the changes or revocation may affect Business Associate's use or disclosure of Protected Health Information. c. Covered Entity shall notify Business Associate of any restriction to the use or disclosure of Protected Health Information that Covered Entity has agreed to in accordance with 45 CFR 5164.522, and also notify Business Associate regarding restrictions that must be honored under section 13405(a) of the HiTECH Act, to the extent that such restrictions may affect Business Associate's Use or Disclosure of Protected Health Information. d. Covered Entity shall notify Business Associate of any modifications to accounting disclosures of Protected Health Information under 45 CFR 4154,528, made applicable under Section 13405(c) of the H!TECH Act, to the extent that such restrictions may affect Business Associate's use or disclosure_ of Protected Health information, e. Covered Entity shall provide Business Associate, within thirty '30) business days of Covered Entity executing this Agreement, a description and/or specification regarding the manner and format in which Business Associate shall provide information to Covered Entity, wherein such information is required to be provided to Covered Entity as agreed to by Business Associate in paragraph 2 e; of this Agreement, Covered Entity reserves the right to modify the manner and format in which said information is provided to Covered Entity, as long as the requested modification is reasonably required by Covered Entity to comply with the HIPAA Rules or the HiTECH Act, and Business Associate is provided sixty (60) business days notice before the requested modification takes effect. f, Covered Entity shall provide Business Associate, vrthin thirty (30) business days of Covered Entity executing this Agreement, a description and/or specification regarding the manner and format in which Business Associate shall provide information to Covered Entity, wherein such information is required to be provided to Covered Entity as agreed to by Business Associate in paragraph 2(i) of this Agreement. Covered Entity reserves the right to modify the manner and format in which said information is provided to Covered Entity, as long as the requested modification is reasonably required by Covered Entity to comply with the HIPAA Rules or the HiTECH Act, and Business Associate it provided sixty (60) business days notice before the requester: modification takes effect, g. Covered Entity shall not require Business Associate to Use or Disclose Protected Health Information in any manner that would not be permissible under the HIPAA Rules it done by the Covered Entity. 5, Term and Termination, a, Term. The "Term of this Agreement shall begin as of the Effective Date and shall terminate when all of the Protected Health Information provided by Covered Entity to Business Associate, or created or received by Business Associate on behalf of Covered Entity, is destroyed or returned to Covered Entity, or, if it is infeasible to return or destroy Protected Health information, protections are extended to such information, in accordance with the termination provisions in this Agreement. b, LeLmination for Cause by Covered Entity. Upon Covered Entity's knowledge of a material breach of this Agreement by Business Associate, Covered Entity shall give Business Associate written notice of such breach and provide reasonable opportunity for Business Associate to cure the breach or end the violation. Covered Entity may terminate this Agreement, and Business Associate agrees to such termination, if Business Associate has breached a material term of this Agreement and does not cure the breach or cure is not possible. If neither termination nor cure is feasible, Covered Entity shall report the violation to the Secretary. c. Termination for Cause by Business Associate, Upon Business Associate's knowledge of a material breach of this Agreement by Covered Entity, Business Associate shall give Covered Entity written notice of such breach and provide reasonable opportunity for Covered Entity to cure the breach or end the violation. Business Associate may terminate this Agreement, and Covered Entity agrees to such termination, if Covered Entity has breached a material term of this Agreement and does not cure the breach or cure is not possible, if neither termination nor cure is feasible, Business Associate shall report the violation to the Secretary. d. Effect of Termination. 1. Except as provided in paragraph (2) of this section, upon termination of this Agreement for any reason, Business Associate shall return or destroy all Protected Health Information received from, or created or received by Business Associate on behalf of Covered Entity. This provision shall also apply to Protected Health information that is in the possession of Subcontractors of Business Associate. Business Associate shall retain no copies of the Protected Health information. 2. In the event that Business Associate determines that returning or destroying the Protected Health Information is infeasible. Business Associate shall provide to Covered Entity, within ten (10) business days, notification of the conditions that make return or destruction infeasible. Upon such determination, Business Associate shall extend the protections of this Agreement to such Protected Health information and limit further uses and disclosures of such Protected Health Information to those purposes that make the return or destruction infeasible, for so long as Business Associate maintains such Protected Health Information. 6. Entire Agreement. a. This Agreement supersedes all other prior and -contemporaneous written and oral agreements and understandings between Covered Entity and Business Associate regarding this Subject Matter. It contains the entire Agreement between the parties. b. This Agreement may be modified only by a signed written agreement between Covered Entity and Business Associate. c. All other agreements entered into between Covered Entity and Business Associate, not related to this Subject Matter, remain in full force and effect, 7. Governing Law. a. This Agreement and the rights of the parties shall be governed by and construed in accordance with Federal law as it pertains to the Subject Matter. This Agreement shall be governed by and construed in accordance with the laws of the State of Delaware, without giving effect to applicable principles of conflicts of law to the extent that the application of the laws of another jurisdiction would be required thereby. in case of any dispute related to this Agreement, the parties agree to submit to personal jurisdiction in the State of Delaware, Furthermore, the parties hereby irrevocably and unconditionally submit to the exclusive jurisdiction of any court of the State of Delaware or any federal court sitting in the State of Delaware for purposes of any suit, action or other proceeding arising out of this Agreement, THE PART/ES HEREBY IRREVOCABLY WAIVE ANY AND ALL RIGHTS TO A TRIAL BY JURY IN ANY ACTION, SUIT OR OTHER PROCEEDING ARISING OUT - OF OR RELATING TO THE TERMS, OBLIGATIONS AND/OR PERFORMANCE OF THIS AGREEMENT, B. Miscellaneous. a. tjggulatary References, A reference in this Agreement to a section in the Privacy Rule, Security Rule, or HITECH Act means the section) as in effect or as amended, b. gmendment. The Parties agree to take such action as is necessary to amend this Agreement from time to time as is necessary for Covered Entity and Business Associate to comply with the requirements of the Privacy Rule, Security Rule, the Health Insurance Portability and Accountability Act of 1996 (Pub. L. No. 1114-191), and the HITECH Act, and its corresponding regulations. c. Survival. The respective rights and obligations of Business Associate under Section 5(d) of this Agreement shall survive the termination of this Agreement. d. Interpretation. Any ambiguity in this Agreement shall be resolved to permit Covered Entity and Business Associate to comply with the Privacy Rule, Security Rule, the Health Insurance Portability anti Accountability Act of 1996 (Pub. L. No. 104-191), and the HITECH Act, and its corresponding regulations. e. Severability. if any provision or provisions o`' this Agreement is/are determined by a court of competent jurisdiction to be unlawful, void, or unenforceable, this Agreement shall not be unlawful, void or unenforceable thereby, but shall continue in effect and be enforced as though such provision or provisions were omitted. PAGES ABOUT EZCLAIM PRODUCTS FAQS NEWSLETTER SIGNUP PARTNERS ASSOCIATIONS UPCOMING EVENTS BLDG SCHEDULE A DEMO SUBSCRIBE NOW! CONTACT US 877.650.0904 SALES REQUEST SUPPORT REQUEST LINK TO EZVIEW RECENT POSTS HARNESSING THE POWER OF Al FOR YOUR MEDICAL BILLING SERVICE: A Crawl, Walk, Run Approach to Implementing Al Apr 30, 2024 BillFiash Partner Blog: S Payment Processing Trends You Need to Know Mar 1, 2024 How Today's Cloud -Based Medical Billing Software is Minimizing Claim Rejections lan 14, 2024 3.36% Cut in The Proposed 2024 Medicare Physician Pay Schedule Oct 9, 2023 SEARCH OUR SITE f Search 1 FOLLOW US ix 11-1 _ HIPAA COMPLIANCE EZClaim® 2023 1511 Olde Towne Road, Suite 81443, Rochester, Michigan 48308-9998 877.650.0904 I Privacy Policy I Terms of Use I Bug Bounty I Sitemap Contract F Entity Information Entity Name" EZCLAIM SOFTWARE LLC Entity ID" @00048791 Q New Entity? Contract Name* Contract ID EZCLAIM SOFTWARE PURCHASE INVOICE & TERMS 8428 Contract Status CTB REVIEW Contract Lead * COBBXXLK Contract Lead Email cobbxxlk@co.weld.co.us Parent Contract ID Requires Board Approval YES Department Project # Contract Description* EZCLAIM SOFTWARE PURCHASE INVOICE & TERMS FOR TWO (2) USER LICENSES FOR MEDICAL BILLING SOFTWARE TO BE USED FOR THE HOME AND COMMUNITY SUPPORT UNIT/CMA. Contract Description 2 Contract Type" AGREEMENT Amount* $3,216.00 Renewable * NO Automatic Renewal Grant IGA Department Requested BOCC Agenda Due Date HUMAN SERVICES Date* 06/29/2024 07/03/2024 Department Email CM- HumanServices@weldgov. com Department Head Email CM-HumanServices- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WEL DGOV.COM If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Termination Notice Period Contact Information Contact Info Review Date * 04/30/2025 Committed Delivery Date Renewal Date Expiration Date* 06/30/2025 Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head JAMIE ULRICH DH Approved Date 06/27/2024 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 07/03/2024 Finance Approver CHERYL PATTELLI Legal Counsel BYRON HOWELL Finance Approved Date Legal Counsel Approved Date 06/27/2024 06/27/2024 Tyler Ref # AG 070324 Originator COBBXXLK Houstan Aragon From: Sent: To: Subject:. noreply@weldgov.com Tuesday, July 29, 2025 12:00 PM CM-ClerktoBoard; Sara Adams; Lesley Cobb; CM-HumanServices-DeptHead Fast Tracked Contract ID (9801) Contract # 9801 has been Fast Tracked to CM -Contract Maintenance. You will be notified in the future based on the Contract information below: Entity Name: EZCLAIM SOFTWARE LLC Contract Name: EZCLAIM SOFTWARE AGREEMENT FOR MEDICAL BILLING SOFTWARE Contract Amount: $3,456.00 Contract ID: 9801 Contract Lead: SADAMS Department: HUMAN SERVICES Review Date: 6/9/2026 Renewable Contract: YES Renew Date: 8/9/2026 Expiration Date: Tyler Ref #: Thank -you Con-lvack 114- ak5ol ��SkTvack R-e\n-eweC1 2ozg-�� tAPo0°P Houstan Aragon From: Sent: To: Cc: Subject: Attachments: Good afternoon CTB, FAST TRACK ITEM: Sara Adams Tuesday, July 29, 2025 12:00 PM CTB HS -Contract Management FAST TRACK - EZ Claim (CMS #9801) EZCIaim Software Invoice and Terms (e).pdf Attached please find the EZ Claim Medical Billing Software (Tyler ID# 2024-1818). This agreement is in perpetuity and is reviewed on a yearly basis. No changes are required. This will be a Fast Track item in CMS for tracking purposes only (CMS# 9801). Thank you, Sara AtimsdA Sara Adams Contract Administrative Coordinator Department of Human Services Desk: 970-400-6603 P.O. Box A, 315 N. 11th Ave., Greeley, CO 80632 00000 Join OW Team Important: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. Hello