B01 - Price Schedule.xlsx
XLSX spreadsheet 13 KB Posted
- Solicitation number
- 75H70926BAO-031-RFQ
About this file
This is a Price Schedule template for RFQ 75H70926BAO-031-RFQ, a Claims Management / Revenue Cycle Management (RCM) Service solicitation issued by the Department of Health and Human Services Indian Health Service. The RFQ is a combined synopsis/solicitation for commercial services set aside 100% for Indian Small Business Economic Enterprise (ISBEE) small business concerns. Quoters must complete the blue cells in the spreadsheet to provide pricing for two line items: Claims Management / RCM Service and Setup Fee, each measured in months for the base year and four option years. The template includes columns for Quantity, Unit, Unit Price, and Total Price across a base year and four optional one-year extension periods, with automatic calculation functionality for contract year totals and overall contract value.
Quotes must be submitted via email no later than June 26, 2026, at 1:00 pm MDT. The period of performance for the base year runs from October 1, 2026, through September 30, 2027, with option years extending through September 30, 2031. Quoters must be registered and active in the System for Award Management (SAM) at the time of submission. Award will be made to the responsible party whose offer provides best value to the Government based on price and other factors, with award announcement made through electronic public notice via SAM.gov.
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Price Schedule
| Quoter's Company Name: | RFQ # | 75H70926BAO-031-RFQ | TITLE: | Claims Management / RCM Service |
| Quoter's SAM UEI: | **Contractor Fill-In Blue Cells, Form Will Auto-Calculate** |
| Contract Line Item Description | BASE YEAR | OPTION YEAR 1 | OPTION YEAR 2 | OPTION YEAR 3 | OPTION YEAR 4 | |||||||||||||||
| QTY | UNIT | UNIT PRICE | TOTAL PRICE | QTY | UNIT | UNIT PRICE | TOTAL PRICE | QTY | UNIT | UNIT PRICE | TOTAL PRICE | QTY | UNIT | UNIT PRICE | TOTAL PRICE | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| FBSU Claims Management / Revenue Cycle Management (RCM) Service | 12.0 | MO | $ - 0 | $0.00 | 12.0 | MO | $ - 0 | $0.00 | 12.0 | MO | $ - 0 | $0.00 | 12.0 | MO | $ - 0 | $0.00 | 12.0 | MO | $ - 0 | $0.00 |
| Setup Fee | 12.0 | MO | $ - 0 | $0.00 | 12.0 | MO | $ - 0 | $0.00 | 12.0 | MO | $ - 0 | $0.00 | 12.0 | MO | $ - 0 | $0.00 | 12.0 | MO | $ - 0 | $0.00 |
| 0.0 | HR | $ - 0 | $0.00 | 0.0 | HR | $ - 0 | $0.00 | 0.0 | HR | $ - 0 | $0.00 | 0.0 | HR | $ - 0 | $0.00 | 0.0 | HR | $ - 0 | $0.00 | |
| Contract Year Total Amount | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
TOTAL CONTRACT VALUE $0.00
File details come from the government source that posted it. Updated .