Appendix_B_-_Fees_Schedule.xlsx

The file is an Appendix B Fees Schedule for a Medical Administrative Services Organization (ASO) contract with the City of St. Petersburg, Florida, covering comprehensive medical and pharmacy benefits administration services. The contract encompasses a range of administrative services including medical and pharmacy claim adjudication, network access, on-site customer service, health support programs, disease management, reporting functions, COBRA administration, member website services, wellness programs, and specialized health support services such as telephonic nurseline, Medicare reporting, and third-party stop-loss coverage.

The fee schedule details various service components with associated pricing, indicating a comprehensive approach to health plan management. The contract appears to include options for medical ASO services with and without Pharmacy Benefit Manager (PBM) integration, suggesting flexibility in service delivery. Additional fee components cover advanced functions like coordination of benefits, subrogation, negotiated fee savings, complex claim reviews, and other supplementary services. The wellness budget is currently set at $50,000, and the contract includes provisions for specialized services such as behavioral health capitation, advanced imaging, and integration with on-site wellness centers. The scope suggests a holistic approach to medical benefits administration for the City of St. Petersburg, with detailed cost structures for various administrative and clinical support services.