Fee Schedule.pdf
PDF 66 KB Posted
- Attached to
- Hospital Electronic Insurance Claims Processing Services Federal contract opportunity
- Solicitation number
- IHS1427575
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Fee Schedule revision 1.pdf | ||
| Scope of Work revision 1.pdf | ||
| Scope of Work.pdf |
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Text version
Line Item Description Quantity Unit Monthly Price Extended Price
1 ABILITY | EASE for Hospital 6 months $ $
2 Multi‐Facility Charge 6 months $ $
3 myABILITY with IVANS NOW 6 months $ $
ABILITY | EASE All‐
Payer Appeals ‐ Package 6 months $ $
ABILITY | EASE All‐Payer
Audit Management ‐ Package 6 months $ $
ABILITY | EASE All‐Payer
Claims Transactions 6 months $ $
ABILITY | EASE All‐Payer
Eligibility Transactions 6 months $ $
8 ABILITY | EASE All‐Payer for Hospital 6 months $ $
ABILITY | EASE All‐Payer Electronic to Paper Claims ‐ Package 6 months $ $
TOTAL =
Line Item Description Quantity Unit Monthly Price Extended Price
1 ABILITY | EASE for Hospital 12 months $ $
2 Multi‐Facility Charge 12 months $ $
3 myABILITY with IVANS NOW 12 months $ $
ABILITY | EASE All‐
Payer Appeals ‐ Package 12 months $ $
ABILITY | EASE All‐Payer
Audit Management ‐ Package 12 months $ $
ABILITY | EASE All‐Payer
Claims Transactions 12 months $ $
ABILITY | EASE All‐Payer
Eligibility Transactions 12 months $ $
8 ABILITY | EASE All‐Payer for Hospital 12 months $ $
ABILITY | EASE All‐Payer Electronic to Paper Claims ‐ Package 12 months $ $
TOTAL =
Contractor
Representative:
Print Name
DUNS #:
Signature & Date
FEE SCHEDULE ‐ SOLICITATION IHS1427575
FIRST OPTION PERIOD 01/01/2022‐12/31/2022
BASE PERIOD 07/01/2021‐12/31/2021
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