Pricing Page, Claims Coding, Billing and Collection Services (3).xlsx

This is a pricing page exhibit for Claims Coding, Billing and Collection Services submitted to the West Virginia Department of Health Facilities (OHF) in response to ARFQ OHF27*01. The solicitation requests vendors to provide claims coding, billing, and collection services with pricing structured as a percentage-based fee for recovery model. The contract term spans four years (Year 1 through Year 4), with an estimated annual claims volume of $2,000,000.00 against which the vendor's percentage fee will be applied to calculate monthly and annual compensation.

The pricing structure requires vendors to submit a percentage fee for recovery, which will be multiplied by the $2,000,000.00 monthly estimate and extended across twelve months for each contract year. The total compensation for all four years is calculated by summing the individual annual fees derived from this percentage-based methodology. Vendors must complete the pricing page by providing company name, sales representative information, vendor address, phone number, email address, and remit-to address, with authorized signature and date required. The document notes that all totals presented are estimates only and may vary based on actual claims volume and recovery activity.