Fee_Schedule.pdf

PDF 63 KB Posted

Attached to
Nurse Triage Telephone services Federal contract opportunity
Solicitation number
IHS5420106
Issued by
Department of Health and Human Services Indian Health Service

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FEE SCHEDULE

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PERFORMANCE_WORK_STATEMENT.PDF PDF

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Text version

Line Item Description Quantity Unit Unit Price Extended Price

Nurse Advice/Nurse Triage Telephone Services: Inclusive General Information and Messaging, Triage Call, Triage with RX Refill, Clinical Follow‐up, and Physician Referrall; Contact Provider and Whom ever is on‐call.

12 months $ $

On‐Call Schedule Maintenance: Maintenance of On‐Call Physician Schedule updates and modifications.

12 months $ $

Translation Services: Navajo to English and other languages as needed.

All patients shall have access to a trined medical interpreter for Navajo to English translation when requesed by the patient.

12 months $ $

Contractor Representative:

Print Name

DUNS #:

Note 1: Refer to Performance Work Statement for more detail.

Signature & Date

Nurse Advice/Nurse Triage Telephone Services

FEE SCHEDULE

TOTAL =

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