Fee Schedule revision 1.pdf

PDF 61 KB Posted

Attached to
Hospital Electronic Insurance Claims Processing Services Federal contract opportunity
Solicitation number
IHS1427575
Issued by
Department of Health and Human Services Indian Health Service

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File Type Posted
Scope of Work revision 1.pdf PDF
Fee Schedule.pdf PDF
Scope of Work.pdf PDF

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Text version

Line Item Description Quantity Unit Monthly Price Extended Price

All‐inclusive monthly rate for the Contractor to provide Revenue Cycle Management software as a service for eligibility verification and medical claims processing at Chinle

Comprehensive Health Care Facility for approximately 9,950 claims per month.

Services in accordance to Scope of Work.

12 months $ $

TOTAL = $

Line Item Description Quantity Unit Monthly Price Extended Price

All‐inclusive monthly rate for the Contractor to provide Revenue Cycle Management software as a service for eligibility verification and medical claims processing at Chinle

Comprehensive Health Care Facility for approximately 9,950 claims per month.

Services in accordance to Scope of Work.

12 months $ $

TOTAL = $

Contractor

Representative:

Print Name

DUNS #:

FEE SCHEDULE ‐ SOLICITATION IHS1427575

BASE PERIOD 07/01/2021‐12/31/2021

FIRST OPTION PERIOD 01/01/2022‐12/31/2022

Signature & Date

File details come from the government source that posted it. Updated .