Fillable Table - 75H70723Q00067.docx
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- Attached to
- Remote Coding, Billing, and Accounts Receivable (AR) Services - Albuquerque Service Unit Federal contract opportunity
- Solicitation number
- 75H70723Q00067
About this file
This solicitation seeks proposals for coding, billing, and accounts receivable non-personal healthcare services. The Indian Health Service within the Department of Health and Human Services is requesting these services to support the Albuquerque Area Indian Health Service in Albuquerque, New Mexico. Offerors should provide pricing for a base year and four option years using the fillable table included or in another format, as well as relevant past performance and vendor information. Proposals will be evaluated under a cascading set-aside starting with Indian small businesses and proceeding to other categories of small businesses if necessary. Proposals are due by April 28, 2023 by email and should be valid for 90 days.
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| File | Type | Posted |
|---|---|---|
| SOLICITATION NO. 75H70723Q00067.pdf |
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Fillable Table * Solicitation No. 75H70723Q00067 Coding, Billing, and Accounts Receivable (AR) Non-Personal Healthcare Services
| Item # |
| Contract Period*** |
| Pricing per Year** |
| Total Amount |
CLIN 1
| Base Year: 05/25/23 – 05/24/24 |
| _______(# of coders (if applies)) $__________/hour x 40 hours/week x 52 weeks/year = |
| $_____________ |
| CLIN 2 |
| 1st Option Year: 05/25/24 – 05/24/25 |
| _______(# of coders (if applies)) $__________/hour x 40 hours/week x 52 weeks/year = |
| $_____________ |
CLIN 3
| 2nd Option Year: 05/25/25 – 05/24/26 |
| _______(# of coders (if applies)) $__________/hour x 40 hours/week x 52 weeks/year = |
| $_____________ |
CLIN 4
| 3rd Option Year: 05/25/26 – 05/24/27 |
| _______(# of coders (if applies)) $__________/hour x 40 hours/week x 52 weeks/year = |
| $_____________ |
CLIN 5
| 4th Option Year: 05/25/27 – 05/24/28 |
| _______(# of coders (if applies)) $__________/hour x 40 hours/week x 52 weeks/year = |
| $_____________ |
| GRAND TOTAL (base year + option years): |
| $_______________ |
* - This is a fillable table for your use, or you may utilize a table or other format of your choice to submit the pricing, but please include base year and four option years.
** - Number of coders may change during the duration of the order, which is acceptable/anticipated. You may leave the “# of coders” blank for now, if preferred, or submit pricing in a different format if necessary.
*** - Dates are subject to change due to background checks, security clearances, etc.
Please also be sure to submit any applicable past performance, vendor information including UEI number, and any other information deemed relevant to this RFQ/Solicitation. Thank you for your interest!
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