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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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 .