Exhibit A - PRICE_COST_ Schedule_01122021.docx
DOCX document 21 KB Posted
- Attached to
- D399--Health Care Clearing House (HCCH) (#2) Revenue Transactions Processing (RTP) (VA-20-00066700)
- Solicitation number
- 36C77620R0016
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77620R0016 0002.docx | DOCX document | |
| RFP 36C77620R0016 Question RESPONSES 01252021 v4_.pdf | ||
| 36C77620R0016 0002.docx | DOCX document | |
| Cost _Price Schedule_01222021_Revised.docx | DOCX document | |
| 36C77620R0016 0001.docx | DOCX document | |
| BAA Attachment with Example Watermark.docx | DOCX document | |
| Exhibit B - Self Performed Work Form.docx | DOCX document | |
| 36C77620R0016.docx | DOCX document |
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Text version
Exhibit A Price/Cost Schedule
*ESTIMATED Annual Provider Transaction Volumes *Estimated Annual Provider Transaction Volumes
| 835: |
| 8,100,000 |
| NCPDP: |
| 13,200,000 |
| 270/271: |
| 984,000 |
| 837: |
| 16,400,000 |
Transaction Volumes are subject to an estimated 25% annual increases or decreases which could either increase or decrease the total amount of the contract as well.
*NOTE: ESTIMATED annual transaction volumes specified in this solicitation under this Price/Cost Schedule are estimates only and are not purchased by the contract. Estimated volumes are provided for price evaluation purposes only.
Complete this Price/Cost Schedule (EXHIBIT A) and submit with your response to the Request for Proposal (RFP)
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
Health Care Clearing House (HCCH) Revenue Transactions Processing Services
Contract Period: Base POP Begin: 04-29-2021 POP End: 04-28-2026
Contractor must complete and include the attached Exhibit A, Tiered Price/Cost Schedule with proposal submission.
0001AA
| 1.00 |
| EA |
| __________________ |
| __________________ |
Monthly BATCHED TRANSACTION PROCESSING Volume: 1 - 1,500,000
Tier pricing per unit for monthly BATCHED TRANSACTION PROCESSING in accordance with the PWS.
0001AB
| 1.00 |
| EA |
| __________________ |
| __________________ |
Monthly BATCHED TRANSACTION PROCESSING Volume: 1,501,000 - 2,500,000
0001AC
| 1.00 |
| EA |
| __________________ |
| __________________ |
Monthly BATCHED TRANSACTION PROCESSING Volume: 2,501,000 +
0001AD
| 1.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME TRANSACTION PROCESSING
Tier pricing per unit for monthly REAL TIME TRANSACTION PROCESSING in accordance with the PWS.
0001AE
| 1.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME TRANSACTION PROCESSING
0001AF
| 1.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME TRANSACTION PROCESSING
0001AG
| 1.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME PHARMACY TRANSACTION PROCESSING
NCPDP Pharmacy Transactions B1, B2, B3, E1
Tier pricing per unit for monthly REAL TIME PHARMACY TRANSACTION PROCESSING in accordance with the PWS.
0001AH
| 1.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME PHARMACY TRANSACTION PROCESSING
Tier pricing per unit for monthly REAL TIME PHARMACY TRANSACTION PROCESSING in accordance with the PWS.
0001AJ
| 1.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME PHARMACY TRANSACTION PROCESSING
Tier pricing per unit for monthly REAL TIME PHARMACY TRANSACTION PROCESSING in accordance with the PWS.
0001AK
| 1.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME PHARMACY TRANSACTION PROCESSING
NCPDP Card Finder TM Eligibility transactions vis web or E1
Tier pricing per unit for monthly REAL TIME PHARMACY TRANSACTION PROCESSING in accordance with the PWS.
0001AL
| 1.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME PHARMACY TRANSACTION PROCESSING
Tier pricing per unit for monthly REAL TIME PHARMACY TRANSACTION PROCESSING in accordance with the PWS.
0001AM
| 1.00 |
| EA |
| __________________ |
| __________________ |
Monthly REAL TIME PHARMACY TRANSACTION PROCESSING
Tier pricing per unit for monthly REAL TIME PHARMACY TRANSACTION PROCESSING in accordance with the PWS.
| 1.00 |
| EA |
| __________________ |
| __________________ |
New and/or additional Electronic Transaction Capability
| GRAND TOTAL |
| __________________ |
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