Cost _Price Schedule_01222021_Revised.docx
DOCX document 19 KB Posted
- Attached to
- D399--Health Care Clearing House (HCCH) (#2) Revenue Transactions Processing (RTP) (VA-20-00066700)
- Solicitation number
- 36C77620R0016
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77620R0016 0002.docx | DOCX document | |
| RFP 36C77620R0016 Question RESPONSES 01252021 v4_.pdf | ||
| 36C77620R0016 0002.docx | DOCX document | |
| 36C77620R0016 0001.docx | DOCX document | |
| Exhibit A - PRICE_COST_ Schedule_01122021.docx | DOCX document | |
| BAA Attachment with Example Watermark.docx | DOCX document | |
| Exhibit B - Self Performed Work Form.docx | DOCX document | |
| 36C77620R0016.docx | DOCX document |
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Text version
EXHIBIT A
*ESTIMATED Annual Provider Transaction Volumes *Estimated Annual Provider Transaction Volumes
| 835: |
| 8,100,000 |
| NCPDP: |
| 13,200,000 |
| 270/271: |
| 984,000 |
| 837: |
| 16,400,000 |
Transaction Volumes are subject to an estimated 25% annual increases or decreases which could either increase or decrease the total amount of the contract as well.
*NOTE: ESTIMATED annual transaction volumes specified in this solicitation under this Price/Cost Schedule are estimates only and are not purchased by the contract. Estimated volumes are provided for price evaluation purposes only.
Complete this Price/Cost Schedule (EXHIBIT A) and submit with your response to the Request for Proposal (RFP)
B.2 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0.00
| _______________ |
| _______________ |
Health Care Clearing House (HCCH) Revenue Transactions Processing Services
Contract Period: Base POP Begin: 04-29-2021 POP End: 04-28-2026
Contractor must complete and include the attached Exhibit A, Tiered Price/Cost Schedule with proposal submission.
0001AA
| 0.00 |
| EA |
| ________________ |
| ________________ |
Monthly BATCHED TRANSACTION PROCESSING Volume: 1 - 1,500,000
Tier pricing per unit for monthly BATCHED TRANSACTION PROCESSING in accordance with the PWS.
0001AB
| 0.00 |
| EA |
| __________________ |
| __________________ |
Monthly BATCHED TRANSACTION PROCESSING Volume: 1,500,001 - 2,500,000
0001AC
| 0.00 |
| EA |
| __________________ |
| __________________ |
Monthly BATCHED TRANSACTION PROCESSING Volume: 2,500,001 +
0001AD
| 0.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME TRANSACTION PROCESSING Volume: 1 - 1,500,000
Tier pricing per unit for monthly REAL TIME TRANSACTION PROCESSING in accordance with the PWS.
0001AE
| 0.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME TRANSACTION PROCESSING Volume: 1,500,001 - 2,500,000
POP End: 01-28-2026
0001AF
| 0.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME TRANSACTION PROCESSING Volume: 2,500,001 +
0001AG
| 0.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME PHARMACY TRANSACTION PROCESSING Volume: 1 - 1,500,000 NCPDP Pharmacy Transactions B1, B2, B3, E1
Tier pricing per unit for monthly REAL TIME PHARMACY TRANSACTION PROCESSING in accordance with the PWS.
0001AH
| 0.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME PHARMACY TRANSACTION PROCESSING Volume: 1,500,001 - 2,500,000
Tier pricing per unit for monthly REAL TIME PHARMACY TRANSACTION PROCESSING in accordance with the PWS.
0001AJ
| 0.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME PHARMACY TRANSACTION PROCESSING Volume: 2,500,001 +
Tier pricing per unit for monthly REAL TIME PHARMACY TRANSACTION PROCESSING in accordance with the PWS.
0001AK
| 0.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME PHARMACY TRANSACTION PROCESSING Volume: 1 - 1,500,000 NCPDP Card Finder TM Eligibility transactions vis web or E1
Tier pricing per unit for monthly REAL TIME PHARMACY TRANSACTION PROCESSING in accordance with the PWS.
0001AL
| 0.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME PHARMACY TRANSACTION PROCESSING Volume: 1,500,001 - 2,500,000
Tier pricing per unit for monthly REAL TIME PHARMACY TRANSACTION PROCESSING in accordance with the PWS.
0001AM
| 0.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME PHARMACY TRANSACTION PROCESSING Volume: 2,500,001 +
Tier pricing per unit for monthly REAL TIME PHARMACY TRANSACTION PROCESSING in accordance with the PWS.
| 1.00 |
| EA |
| __________________ |
| __________________ |
New and/or additional Electronic Transaction Capability
| GRAND TOTAL |
| __________________ |
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