FPR Pricing Spreadsheet - Final.xlsx
XLSX spreadsheet 16 KB Posted
- Solicitation number
- 24322625Q0020HI
- Issued by
-
Office of Personnel Management
About this file
The file is an FPR (Final Proposal Revision) Pricing Spreadsheet for a medical and dental health benefits independent medical review contract with the Office of Personnel Management (OPM). The spreadsheet covers a base year and four option years, with detailed pricing for various medical and dental case review services including routine and expedited reviews.
The pricing schedule includes multiple line items (CLINs) for different review types such as routine case reviews (1-150, 151-300, over 300 cases), re-reviews for new clinical information and questions, first-time and re-reviews by coding specialists, and various reviewer panel configurations (two and three reviewer panels). The contract allows for different review types including first-time reviews, re-reviews, and specialized coding specialist reviews, with quantities ranging from 1 to 150 units per line item across the base year and option years. The contract appears to provide comprehensive medical review services for disputed claims and pre-service requests across different medical specialist categories.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_24322625Q0020_Amd_0002.pdf | ||
| Solicitation Amendment - Instructions to Offerors.pdf | ||
| Questions and Answers.xlsx | XLSX spreadsheet | |
| Sol_24322625Q0020_Amd_0001.pdf | ||
| QASP.pdf | ||
| IRO Specialty List.xlsx | XLSX spreadsheet | |
| 24322625Q0020.pdf | ||
| Medical_Review_Format.pdf | ||
| Performance Work Statement.pdf | ||
| OPM_ExpertBio_Attachment.pdf | ||
| 2025 FEHB PSHB Plans.xlsx | XLSX spreadsheet |
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Text version
FPR Pricing Spreadsheet
| // INSERT CONTRACTOR NAME // Base Year Date of Award through Day 365 | // INSERT CONTRACTOR NAME // Option 1 Day 366 through Day 731 | // INSERT CONTRACTOR NAME // Option 2 Day 732 through Day 1,097 | // INSERT CONTRACTOR NAME // Option 3 Day 1,098 through Day 1,463 | // INSERT CONTRACTOR NAME // Option 4 Day 1,474 through Day 1,829 | |||||||||||||||||||||||||
| CLIN | Schedule of Supplies/Services | Qty | Unit | Rate | Extended Price | CLIN | Schedule of Supplies/Services | Qty | Unit | Rate | Extended Price | CLIN | Schedule of Supplies/Services | Qty | Unit | Rate | Extended Price | CLIN | Schedule of Supplies/Services | Qty | Unit | Rate | Extended Price | CLIN | Schedule of Supplies/Services | Qty | Unit | Rate | Extended Price |
| Medical and Dental Case Reviews – Routine Review 7-days | Medical and Dental Case Reviews – Routine Review 7-days | Medical and Dental Case Reviews – Routine Review 7-days | Medical and Dental Case Reviews – Routine Review 7-days | Medical and Dental Case Reviews – Routine Review 7-days | |||||||||||||||||||||||||
| 10001 | 1 - 150 Routine Cases | 150 | EA | 20001 | 1 - 150 Routine Cases | 150 | EA | 30001 | 1 - 150 Routine Cases | 150 | EA | 40001 | 1 - 150 Routine Cases | 150 | EA | 50001 | 1 - 150 Routine Cases | 150 | EA | ||||||||||
| 10002 | 151 - 300 Routine Cases | 150 | EA | 20002 | 151 - 300 Routine Cases | 150 | EA | 30002 | 151 - 300 Routine Cases | 150 | EA | 40002 | 151 - 300 Routine Cases | 150 | EA | 50002 | 151 - 300 Routine Cases | 150 | EA | ||||||||||
| 10003 | Over 300 Routine Cases | 100 | EA | 20003 | Over 300 Routine Cases | 100 | EA | 30003 | Over 300 Routine Cases | 100 | EA | 40003 | Over 300 Routine Cases | 100 | EA | 50003 | Over 300 Routine Cases | 100 | EA | ||||||||||
| 10010 | Re-Review New Clinical Information | 30 | EA | 20010 | Re-Review New Clinical Information | 30 | EA | 30010 | Re-Review New Clinical Information | 30 | EA | 40010 | Re-Review New Clinical Information | 30 | EA | 50010 | Re-Review New Clinical Information | 30 | EA | ||||||||||
| 10020 | Re-Review New Questions | 30 | EA | 20020 | Re-Review New Questions | 30 | EA | 30020 | Re-Review New Questions | 30 | EA | 40020 | Re-Review New Questions | 30 | EA | 50020 | Re-Review New Questions | 30 | EA | ||||||||||
| 10030 | First Time Review for Coding Specialist | 20 | HR | 20030 | First Time Review for Coding Specialist | 20 | HR | 30030 | First Time Review for Coding Specialist | 20 | HR | 40030 | First Time Review for Coding Specialist | 20 | HR | 50030 | First Time Review for Coding Specialist | 20 | HR | ||||||||||
| 10040 | Re-Review for Coding Specialistg | 10 | HR | 20040 | Re-Review for Coding Specialistg | 10 | HR | 30040 | Re-Review for Coding Specialistg | 10 | HR | 40040 | Re-Review for Coding Specialistg | 10 | HR | 50040 | Re-Review for Coding Specialistg | 10 | HR | ||||||||||
| 10050 | Two Reviewer Panel First Time Review | 1 | EA | 20050 | Two Reviewer Panel First Time Review | 1 | EA | 30050 | Two Reviewer Panel First Time Review | 1 | EA | 40050 | Two Reviewer Panel First Time Review | 1 | EA | 50050 | Two Reviewer Panel First Time Review | 1 | EA | ||||||||||
| 10060 | Two Reviewer Panel Re-Review for New Clinical Information | 1 | EA | 20060 | Two Reviewer Panel Re-Review for New Clinical Information | 1 | EA | 30060 | Two Reviewer Panel Re-Review for New Clinical Information | 1 | EA | 40060 | Two Reviewer Panel Re-Review for New Clinical Information | 1 | EA | 50060 | Two Reviewer Panel Re-Review for New Clinical Information | 1 | EA | ||||||||||
| 10070 | Two Reviewer Panel for New Questions | 1 | EA | 20070 | Two Reviewer Panel for New Questions | 1 | EA | 30070 | Two Reviewer Panel for New Questions | 1 | EA | 40070 | Two Reviewer Panel for New Questions | 1 | EA | 50070 | Two Reviewer Panel for New Questions | 1 | EA | ||||||||||
| 10080 | Three Reviewer Panel First Time Review | 1 | EA | 20080 | Three Reviewer Panel First Time Review | 1 | EA | 30080 | Three Reviewer Panel First Time Review | 1 | EA | 40080 | Three Reviewer Panel First Time Review | 1 | EA | 50080 | Three Reviewer Panel First Time Review | 1 | EA | ||||||||||
| 10090 | Three Reviewer Panel Re-Review for New Clinical Information | 1 | EA | 20090 | Three Reviewer Panel Re-Review for New Clinical Information | 1 | EA | 30090 | Three Reviewer Panel Re-Review for New Clinical Information | 1 | EA | 40090 | Three Reviewer Panel Re-Review for New Clinical Information | 1 | EA | 50090 | Three Reviewer Panel Re-Review for New Clinical Information | 1 | EA | ||||||||||
| 10100 | Three Reviewer Panel Re-review for New Questions | 1 | EA | 20100 | Three Reviewer Panel Re-review for New Questions | 1 | EA | 30100 | Three Reviewer Panel Re-review for New Questions | 1 | EA | 40100 | Three Reviewer Panel Re-review for New Questions | 1 | EA | 50100 | Three Reviewer Panel Re-review for New Questions | 1 | EA | ||||||||||
| 10110 | First Time Review for a two Coding Specialist Panel | 2 | HR | 20110 | First Time Review for a two Coding Specialist Panel | 2 | HR | 30110 | First Time Review for a two Coding Specialist Panel | 2 | HR | 40110 | First Time Review for a two Coding Specialist Panel | 2 | HR | 50110 | First Time Review for a two Coding Specialist Panel | 2 | HR | ||||||||||
| 10120 | Re-Review for a two-coding specialist | 1 | HR | 20120 | Re-Review for a two-coding specialist | 1 | HR | 30120 | Re-Review for a two-coding specialist | 1 | HR | 40120 | Re-Review for a two-coding specialist | 1 | HR | 50120 | Re-Review for a two-coding specialist | 1 | HR | ||||||||||
| 10130 | First Time Review for Three Coding Specialist | 1 | HR | 20130 | First Time Review for Three Coding Specialist | 1 | HR | 30130 | First Time Review for Three Coding Specialist | 1 | HR | 40130 | First Time Review for Three Coding Specialist | 1 | HR | 50130 | First Time Review for Three Coding Specialist | 1 | HR | ||||||||||
| 10140 | Re-Review for a Three Coding Specialist Panel | 1 | HR | 20140 | Re-Review for a Three Coding Specialist Panel | 1 | HR | 30140 | Re-Review for a Three Coding Specialist Panel | 1 | HR | 40140 | Re-Review for a Three Coding Specialist Panel | 1 | HR | 50140 | Re-Review for a Three Coding Specialist Panel | 1 | HR | ||||||||||
| Medical and Dental Case Reviews – EXPEDITED (formerly Routine) Review 3-days | Medical and Dental Case Reviews – EXPEDITED (formerly Routine) Review 3-days | Medical and Dental Case Reviews – EXPEDITED (formerly Routine) Review 3-days | Medical and Dental Case Reviews – EXPEDITED (formerly Routine) Review 3-days | Medical and Dental Case Reviews – EXPEDITED (formerly Routine) Review 3-days | |||||||||||||||||||||||||
| 10200 | First Time Review | 48 | EA | 20200 | First Time Review | 48 | EA | 30200 | First Time Review | 48 | EA | 40200 | First Time Review | 48 | EA | 50200 | First Time Review | 48 | EA | ||||||||||
| 10210 | Re-Review New Clinical Information | 6 | EA | 20210 | Re-Review New Clinical Information | 6 | EA | 30210 | Re-Review New Clinical Information | 6 | EA | 40210 | Re-Review New Clinical Information | 6 | EA | 50210 | Re-Review New Clinical Information | 6 | EA | ||||||||||
| 10220 | Re-Review New Questions | 6 | EA | 20220 | Re-Review New Questions | 6 | EA | 30220 | Re-Review New Questions | 6 | EA | 40220 | Re-Review New Questions | 6 | EA | 50220 | Re-Review New Questions | 6 | EA | ||||||||||
| 10230 | Two Reviewer Panel First Time Review | 1 | EA | 20230 | Two Reviewer Panel First Time Review | 1 | EA | 30230 | Two Reviewer Panel First Time Review | 1 | EA | 40230 | Two Reviewer Panel First Time Review | 1 | EA | 50230 | Two Reviewer Panel First Time Review | 1 | EA | ||||||||||
| 10240 | Two Reviewer Panel Re-Review for New Clinical Information | 1 | EA | 20240 | Two Reviewer Panel Re-Review for New Clinical Information | 1 | EA | 30240 | Two Reviewer Panel Re-Review for New Clinical Information | 1 | EA | 40240 | Two Reviewer Panel Re-Review for New Clinical Information | 1 | EA | 50240 | Two Reviewer Panel Re-Review for New Clinical Information | 1 | EA | ||||||||||
| 10250 | Two Reviewer Panel for New Questions | 1 | EA | 20250 | Two Reviewer Panel for New Questions | 1 | EA | 30250 | Two Reviewer Panel for New Questions | 1 | EA | 40250 | Two Reviewer Panel for New Questions | 1 | EA | 50250 | Two Reviewer Panel for New Questions | 1 | EA | ||||||||||
| 10260 | Three Reviewer Panel First Time Review | 1 | EA | 20260 | Three Reviewer Panel First Time Review | 1 | EA | 30260 | Three Reviewer Panel First Time Review | 1 | EA | 40260 | Three Reviewer Panel First Time Review | 1 | EA | 50260 | Three Reviewer Panel First Time Review | 1 | EA | ||||||||||
| 10270 | Three Reviewer Panel Re-Review for New Clinical Information | 1 | EA | 20270 | Three Reviewer Panel Re-Review for New Clinical Information | 1 | EA | 30270 | Three Reviewer Panel Re-Review for New Clinical Information | 1 | EA | 40270 | Three Reviewer Panel Re-Review for New Clinical Information | 1 | EA | 50270 | Three Reviewer Panel Re-Review for New Clinical Information | 1 | EA | ||||||||||
| 10280 | Three Reviewer Panel Re-review for New Questions | 1 | EA | 20280 | Three Reviewer Panel Re-review for New Questions | 1 | EA | 30280 | Three Reviewer Panel Re-review for New Questions | 1 | EA | 40280 | Three Reviewer Panel Re-review for New Questions | 1 | EA | 50280 | Three Reviewer Panel Re-review for New Questions | 1 | EA |
Total Contract Proposed Price:
File details come from the government source that posted it. Updated .