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County renews ImageTrend EMS billing service; staff says system boosted revenue

Franklin County Board of County Commissioners · August 5, 2026
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Summary

Franklin County commissioners approved a one-year renewal with ImageTrend LLC for EMS billing and integrations (07/20/2026–07/19/2027) in the amount of $10,079.40; county staff said the switch increased revenue and saved roughly $5,000 last year.

Franklin County commissioners voted to approve the county's annual contract with ImageTrend LLC for EMS billing and integration services covering July 20, 2026, through July 19, 2027. County staff recommended the renewal and presented it as a routine annual purchase.

Christine, the county staff presenter, described the components of the service: ImageTrend as the billing software, Availity as the clearinghouse for claims, and My EMS Care for online payments. She said switching to ImageTrend "not only has increased revenue significantly" and "saved us close to about $5,000 in addition." A commissioner moved to approve payment to ImageTrend LLC for $10,079.40; the motion was seconded and carried unanimously in the transcript.

The vote authorizes the listed software services for the next contract year and keeps the county on the stated billing platform; staff said Sarah (a named employee) has been instrumental in increasing collections under the system.