* Maintain interface capabilities to receive electronic run tickets from EMS, check for discrepancies to ensure all run tickets have been received and verify required trip and patient information is included. Vendor selected will be required to work with Metro's patient care software, currently ImageTrend to receive run data electronically. Interface must allow for all ImageTrend data points to be captured and populate the vendor profiles. * Provide all labor, materials and technology necessary to obtain missing patient information from all available sources prior to issuing insurance claims or direct patient billing. * Electronically file insurance claims and mail direct patient billing upon verification of run ticket information within five business days of receipt run ticket. * Provide follow-up billing upon receipt of "new" information received concerning a patient. This includes, but is not limited to, additional insurance information, change of address, undeliverable mail, or change of responsible party.