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Commissioners probe $10.26 million in ambulance uncollectibles; no write-off vote taken
Summary
County staff and commissioners discussed a large, aged accounts-receivable balance in ambulance billing tied in part to a prior vendor's data problems and to payer mix; they asked legal and finance to explore collection options and safeguards but did not authorize a specific write-off at the meeting.
Flagler County commissioners spent substantial time questioning staff and fire-rescue leadership about a $10,258,142.01 balance in aged, uncollectible ambulance accounts that appears in records from June 2018 through February 2024.
Finance and fire-rescue staff said a major portion of the balance is tied to billing handled by a previous vendor, Change Healthcare, where staff reported a cybersecurity incident and data problems during a transition in billing vendors. Commissioners and staff said the county moved billing to a new vendor, Digitech, and that collections have improved under the new company.…
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