Federal Supply Schedule 47QRAA22D00E8

General Services Administration

Federal Supply Service

Authorized Federal Supply Schedule Price List

On-line access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an electronic delivery order are available through GSA Advantage!®, a menu-driven database system. The Internet address GSA Advantage!® is: GSAAdvantage.gov.

Multiple Award Schedule (MAS)

FSC Group: Professional Services FSC Class:

Contract Number: 47QRAA22D00E8

Business Size: Small Business

Contract Period: August 29, 2022 through August 28, 2027

Contractor edgeMED Healthcare, LLC

4800 T-Rex Avenue, Suite 200

Boca Raton, Florida 33431

Toll Free: (800) 832-3274

Fax: (561) 314-7223

Website: www.edgeMED.com

Contractor Point of Contact

Gary Dobel

(800) 832-3274 ext. 130 gdobel@edgeMED.com

Contractor Administration Source

Ryan Kurstin

(800) 832-3274 ext. 102 rkurstin@edgeMED.com

For more information on ordering from Federal Supply Schedules, select the GSA Schedules link at www.gsa.gov.

Page of 51 http://GSAAdvantage.gov http://www.edgeMED.com mailto:gdobel@edgeMED.com mailto:rkurstin@edgeMED.com http://www.gsa.gov

Customer Information

1a. Awarded Special Item Numbers (SINs)

1b. Lowest Priced Model Number and Price for each SIN: Not applicable

1c. Hourly and Service Rates: See Price List on page 4

2. Maximum Order: $1,000,000.00

3. Minimum Order: $100.00

4. Geographic Coverage: Domestic

5. Point(s) of Production: Same as Contractor

6. Discount from List Prices: Prices displayed are GSA Net (discounts deducted)

7. Quantity Discounts:

• 1.0% discount for a single task order between $100,000.00 and $249,999.99

• 1.5% discount for a single task order between $250,000.00 and $499,999.99

• 2.0% discount for a single task order exceeding $500,000.00

• Task orders at or exceeding $1,000,000 in one month will receive a price reduction of 4.25%

8. Prompt Payment Terms. Net 30 days. Information for Ordering Offices: Prompt payment terms cannot be negotiated out of the contractual agreement in exchange for other concessions.

9. Foreign Items: Not applicable

10a. Time of Delivery: Calculated on the task order level

10b. Expedited Delivery: Contact Contractor

10c. Overnight and 2-Day Delivery: Contact Contractor

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SIN SIN Title

524292INS Third Party Administration of Insurance and Pension Funds

OLM Order-Level Materials (OLM’s)

10d. Urgent Requirements: Contact Contractor representative to request expedited delivery.

11. F.O.B. Point: Destination

12a. Ordering Address: Same as Contractor

12b. Ordering Procedures: For supplies and services, the ordering procedures, information on Blanket Purchase Agreements (BPA’s) are found in Federal Acquisition Regulation (FAR) 8.405-3.

13. Payment Address: Same as Contractor

14. Warranty Provision: Not applicable

15. Export packing Charges: Not applicable

16. Terms and Conditions of Rental, Maintenance, and Repair: Not applicable

17. Terms and Conditions of Installation: Not applicable

18a. Terms and Conditions of Repair Parts Indicating Date of Parts Price Lists and any Discounts from List Prices: Not applicable

18b. Terms and Conditions for any Other Services: Not applicable

19. List of Service and Distribution Points: Not applicable

20. List of Participating Dealers: Not applicable

21. Preventive Maintenance: Not applicable

22a. Special Attributes such as Environmental Attributes (e.g., recycled content, energy efficiency, and/or reduced pollutants): Not applicable

22b. Section 508 Compliance: Not applicable

23. Unique Entity Identifier (UEI) Number: PZD4ULLZQ1X8

24. Notification Regarding Registration in System for Award Management (SAM) Database:

Contractor registered and active in SAM database

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Professional Services Work Scope

Professional Services Awarded Pricing

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Description: Provides financial services related to third party administration of insurance and pension funds, such as claims adjudication and processing and other administrative services to insurance carriers, employee benefit plans, and self-insurance funds. Additionally, medical coding, medical billing, medical claims and appeals, insurance claim processing, managing and distributing claims reimbursements may be performed.

Ancillary support services may include providing customer service education and outreach, project and program management, compliance and dispute resolution support, provider outreach, and data reporting support, benefit design, prescription drug formulary, enrollment assistance, consolidated billing, identification of billing mistakes, stop loss coverage, and state and federal billing.

SINs SIN Title Subcategory

524292INS Third Party Administration of Insurance and Pension Funds Financial Services

SINs SIN Title Subcategory

524292INS Third Party Administration of Insurance and Pension Funds Financial Services

Labor Category GSA Price Unit of Issue

Medical Billing & Collections 5% of collected amount

Description: Enter and/or review all patient demographic and insurance information and enter in the software.

Review provider encounter documentation and code the encounter. Enter all charges into the system. Process and transmit daily all insurance claims (commercial and government). Rectify any clearinghouse rejections.

Work any denials and/or outstanding claims to ensure proper payment. Connect provider(s) to all participating insurance companies and configure Electronic Funds Transfer and Electronic Remittance Advice. Post all payments (paper checks, ERA's, credit card payments, patient checks). Balance daily and monthly payments to the Customer bank account (if desired). Mail patient statements on a weekly, bi-weekly or monthly basis. Accept patient calls and address billing related questions. Provide each client with a list of patients that have not paid their invoice after receiving three statements. Communicate with outside collection agency for patients Customer elects to send to Collections. Provide detailed, monthly reporting of financial collections by doctor and location, payments by each insurance company, the aging account receivables and any other requested data. Provide complimentary software, implementation, training and ongoing support. Supply each location with a scanner (if needed) to transmit fee tickets, Explanation of Benefits and patient payments.

Minimum Education: High School Minimum Years’ Experience: 5

Labor Category GSA Price Unit of Issue

CAP Claim $2.96 per claim

Description: Enter and/or review patient demographics, review provider notes, review coding, create the claim, electronically send claim to Clearinghouse, rectify any rejections from the Clearinghouse, and post payment in the system.

Minimum Education: High School Minimum Years’ Experience: 5

Service Contract Labor Standards: The Service Contract Labor Standards (SCLS), formerly known as the Service Contract Act (SCA), is applicable to this contract as it applies to the entire Multiple Award Schedule (MAS) and all services provided. While no specific labor categories have been identified as being subject to SCLS/SCA due to exemptions for professional employees (FAR 22.1101, 22.1102 and 29 CRF 541.300), this contract still maintains the provisions and protections for SCLS/SCA eligible labor categories. If and/or when the contractor adds SCLS/SCA labor categories to the contract through the modification process, the contractor must inform the Contracting Officer and establish a SCLS/SCA matrix identifying the GSA labor category titles, the occupational code, SCLS/SCA labor category titles and the applicable WD number. Failure to do so may result in cancellation of the contract.

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