B08 Attachment 1.docx

Attachment 1

1.0 Cost Structure

1.1 Payment Structure

The Vendor may process claims in four (4) billing categories / tiers. Cost to process each category should be identified in the Vendor’s response.

The table below outlines the levels in which the Vendor will receive payment. The Vendor’s proposed pricing structure will include the following;

· Initial submission to third party payer or patient

· Re-submission of claim to third party payer or patient

· Processing of hardship claims

12.2 Initial program set up

Initial program set up costs and annual program improvement will be charged at an hourly rate. Fixed rates will not be considered for this pricing schedule.

12.3 Payment for ongoing Services

The Vendor shall be compensated on a monthly basis as per the terms of the resulting task order(s). Invoices will include supporting documentation of bills processed, collections received, and actual deposits completed. Should the need arise for travel and training, the vendor will be compensated for actual costs and shall submit full back up information with each invoice.

The Vendor will be required to notify the NPS COR when 75% of allotted funding has been expended against a specific Task Order.