Attachment 3 - Price Quotation Blank.xlsx

XLSX spreadsheet 51 KB Posted Apr 19, 2021

Attached to: Provide Service to Process Accounts Receivable Aging Claims
Solicitation number: 75H71221Q00015
Issued by: Department of Health and Human Services Indian Health Service

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Other files

File	Type	Posted
Questions and Answers.pdf	PDF	May 4, 2021
1. Instructions to Offerors.docx	DOCX document	Apr 19, 2021
Attachment 1 - Clauses and Instructions 8p.pdf	PDF	Apr 19, 2021
Attachment 2 - SOW _Aging Claim PIMC.pdf	PDF	Apr 19, 2021

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IGCE

HHS IGCE TEMPLATE
PROJECT TITLE:
Detailed Price Summary
Note: This template can be modified based on the contract type (i.e. Firm Fixed Price, Time and Materials, and Cost Reimburesment)
Contract Line Item Description	Base Period				Option Year One				Option Year Two				Option Year Three				Option Year Four
	Quantity	Unit	Unit Price	Total Price	Quantity	Unit	Unit Price	Total Price	Quantity	Unit	Unit Price	Total Price	Quantity	Unit	Unit Price	Total Price	Quantity	Unit	Unit Price	Total Price
Claim research, billing, collection, and denial management services and reporting	1820.00	HR	0.00	$ - 0	1820.00	HR	$ - 0	$ - 0	1820.00	HR	$ - 0	$ - 0				$ - 0
				$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0
				$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0
				$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0
				$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0
				$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0
				$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0
				$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0
				$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0
				$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0			$ - 0	$ - 0
Line Item Subtotal				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Fringe Benefits				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Subtotal Line Item & Fringe				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Overhead				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Subtotal Line Items, Fringe and Overhead				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
ODC's
Travel				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Subcontracts				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Consultants				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Materials				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
CDs				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Subtotal ODCs				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Subtotal - All Costs				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
G&A				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Total Cost				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Fee/Profit				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
Total Estimated Yearly Values				$ - 0				$ - 0				$ - 0				$ - 0				$ - 0
TOTAL ESTIMATED VALUE OF CONTRACT	$ - 0

&F&D&T

File details come from the government source that posted it. Updated Apr 19, 2021.