74BAI-S3531 Cost Schedule.docx
DOCX document 18 KB Posted
- Solicitation number
- 74BAI-S3531
- Issued by
- Nevada
About this file
This document is a Cost Schedule attachment for a contract opportunity, likely related to insurance claims administration services. The document provides a template for vendors to submit an all-inclusive annual cost proposal covering claim administration services across four contract years. The cost schedule requires detailed transparency in pricing, with vendors expected to itemize fees for various services including data conversion, claim opening, hearing and appeal representation, file storage, processing, reporting, medical bill review, and pharmacy benefit management.
The pricing model is structured as a cost-plus approach, mandating vendors disclose all fee components with complete transparency. Any fees not explicitly listed in the proposal will be assumed to be included at no additional charge to the Insolvency Funds. The cost schedule allows vendors to detail expenses across multiple categories, such as data conversion, claim management, regulatory reporting, and network services. Vendors must provide a total estimated annual contract cost for each of the four contract years, with the understanding that scoring will be based on the total annual cost proposal.
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Other files
| File | Type | Posted |
|---|---|---|
| Quote Instructions.pdf | ||
| 74BAI-S3531 Terms-and-conditions-for-services.pdf | ||
| 74BAI-S3531 Vendor-Information-Response.pdf | ||
| 74BAI-S3531 Workers Comp Claim TPA RFP~4.docx | DOCX document | |
| 74BAI-S3531 Standard-form-contract.docx | DOCX document | |
| 74BAI-S3531 Q and A.xlsx | XLSX spreadsheet | |
| 74BAI-S3531 Workers Comp Claim TPA RFP~5.docx | DOCX document | |
| 74BAI-S3531 Certification-regarding-lobbying.pdf | ||
| Open Loss Runs Summary.pdf |
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Text version
ATTACHMENT - COST SCHEDULE
Provide an all-inclusive annual cost proposal that includes a summary of all claim administration fees, detailing services related to such fees.
Scoring will be done using the contract total of annual cost provided.
All fees shall be disclosed in a cost-plus model for total transparency and proposer must detail all components of its charges. Any fees based on time, per claim, and/or expenses shall be clearly identified. If a fee for service is included, please state “Included.”
Any cost, fee or expense that is not provided in the proposer’s cost proposal will be assumed at no additional charge to the Insolvency Funds.
VENDOR NAME: ______________________________________________________________
| Description |
| Contract Year 1 |
| Contract Year 2 |
| Contract Year 3 |
| Contract Year 4 |
| Est. Annual Total Contract Cost |
| $ |
| $ |
| $ |
| $ |
Cost Transparency entries:
Data Conversion
(electrically converting historical claim data)
Takeover of Existing Open Claims
Subsequent Claim Opening Fee
Hearing Representation
Appeal Representation
Paper Files Storage
Check stock1099 Processing
Ad-Hoc/Custom Reports
State/Federal Regulatory Reporting
Medicare Reporting
Medical Bill Review
Pharmacy Benefit Management Program
Non-Pharmacy Benefit Management Program (pharmacy payment systems, items unrelated to PBM activities, etc.)
PPO Network
Add additional as needed
File details come from the government source that posted it. Updated .