CTR079349_Pricing.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- Master Agreement AZ|CTR079349
- Contract number
- CTR079349
- Issued by
- Arizona
About this file
This document is a pricing document for Request for Proposal No. BPM006851 for Workers' Compensation Independent Medical Examination (IME) Scheduling Services, submitted by Woodlake Medical Management, Inc. The document appears to be a state or local government contract pricing proposal related to medical services coordination.
The pricing structure includes a flat rate of $780.00 for IME and Impairment Rating Exams, $585.00 for File Reviews, and $225.00 for Addendums. Additional charges include $0.30 per page for records over 200 pages, $430.00 for IME No Shows/Late Cancels, $50 per imaging facility for film retrieval (plus incidentals), and $100.00 for teleconference scheduling with a doctor. Woodlake Medical Management specifies that film retrieval charges are applied per imaging facility, with $50 charged for each facility where films are retrieved, regardless of the number of films obtained from that location.
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Other files
| File | Type | Posted |
|---|---|---|
| CTR079349_COI.pdf | ||
| CTR079349_Contract_Summary_Document.pdf |
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Text version
Items
| Request for Proposal No. BPM006851 | |
| Workers' Compensation IME Scheduling Services | |
| Pricing Document | |
| Offeror Name: | Woodlake Medical Management, Inc. |
| Please provide a flat rate that will encompass all services as outlined in the Scope of Work. | ||
| IME Scheduling and Coordination | ||
| *Between the hours of 8:00 a.m. - 5:00 p.m. | ||
| Offeror Notes | ||
| Flat Rate (IME & Impairment Rating Exams): | $780.00 | (1) Woodlake charges $50 per imaging facility to retrieve films. So if there are 5 films retreived from one facility, it will be $50. If there are 3 films retrieved from 3 different facilities, it would be $150 ($50 per facility). Incidentals include shipping and copy fees charged by the facilities to get the films to the provider. |
| Flat Rate (File Reviews) | $585.00 | |
| Flate Rate (Addendums) | $225.00 | |
| Any Additional Charges: | ||
| Excessive Records (records received over 200 pages) | $0.30 per page | |
| IME No Shows / Late Cancels | $430.00 | |
| Film Retrieval | $50 per imaging facility + incedentals(1) | |
| Teleconference Scheduling with Doctor | $100.00 |
*If charging for excessive records, please indicate how many pages are included in the flat rate and/or the number of pages considered excessive. Please indicate how the additional records will be charged.
BPM003345 Pricing Document
File details come from the government source that posted it. Updated .