Pricing Page, Claims Coding, Billing and Collection Services (3).xlsx
XLSX spreadsheet 81 KB Posted
- Attached to
- Claims Coding, Billing and Collection Services
- Solicitation number
- ARFQ 0512 OHF2700000001 2
- Issued by
- Kanawha County, West Virginia
About this file
This is a pricing exhibit for a Claims Coding, Billing and Collection Services contract opportunity issued by the West Virginia Department of Health Facilities (OHF) under ARFQ OHF27*01. The contract solicitation seeks a vendor to provide claims coding, billing, and collection services. The document does not specify response deadlines, due dates, site visits, bidder conferences, or award dates. The contract term covers four years (Years 1 through 4) with an estimated monthly recovery amount of $2,000,000.00.
Vendor compensation is structured as a percentage-based fee on recovery amounts, with the pricing page requiring bidders to propose their percentage fee and corresponding monthly and annual fees for each contract year. Bidders must complete the pricing table by inserting their proposed percentage rate, which is then multiplied against the $2,000,000.00 monthly estimate to calculate compensation. The document notes that the estimated recovery totals are approximate and may vary. Bidders are required to provide company name, sales representative information, vendor address, phone number, email address, remittance address, and signature with date on the pricing form. No information regarding set-asides, incumbent vendors, funding sources, or special requirements is included in this exhibit.
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Text version
OHF Pricing Page
| EXHIBIT A PRICING PAGE |
| Department of Health Facilities (OHF) |
ARFQ OHF27*01
Claims Coding, Billing and Collection Services
Percentage Fee for Recovery
Vendor DHF Monthly Estimate Vendor Percentage for Recovery Monthly Fee Annual Fee
Year 1 $2,000,000.00 x % = $ x 12 $
Year 2 $2,000,000.00 x % = $ x 12 $
Year 3 $2,000,000.00 x % = $ x 12 $
Year 4 $2,000,000.00 x % = $ x 12 $
Grand Total $
*Please note: the totals shown here are estimates only and may vary.
Please Print Information Below.
Company Name:
Sales Representative:
Vendor Address:
Vendor Phone:
Email Address:
Remit to Address:
SIGNATURE DATE
Sheet2
File details come from the government source that posted it. Updated .