Fee Schedule Workload A
21 KB Posted
- Attached to
- Commercial Banking Services for Medicare Administrative Contractors Federal contract opportunity
- Solicitation number
- rfp-cms-2009-0028
About this file
Addendum 3 part (a) - Workload A Schedule of Services Cost Proposal
Text of this file
Schedule Services Cost Proposal Bank's Name
Workload A: Schedule of Services Cost Proposal for Base Year
Measured Account Services Volume Price Cost
| 1 | PAYMENT | |||
| a) | EFTs | 10,565,458 | 0.00 | |
| b) | Checks | 10,558,442 | 0.00 |
| 2 | Major Cost Items | |||
| a) | Deposted Items | 63,829 | 0.00 | |
| b) | ACH Addenda Records | 2,847,263 | 0.00 | |
| c) | Check Image Capture | 7,668,788 | 0.00 | |
| d) | Data Transmission - ACH Transactions | 101,990 | 0.00 | |
| e) | Data Transmission - Paid Items | 3,300 | 0.00 |
| 3 | All Other Charges*** | 0.00 | |
| a) | Account Maintenance | 0.00 | |
| b) | Additional Reconciliations | 0.00 | |
| c) | CD ROM Disks | 0.00 | |
| d) | CMS Mandated Reconciliations and Reports | 0.00 | |
| e) | Controlled Distribution Maintenance | 0.00 | |
| f) | Image Deposited Checks | 0.00 | |
| g) | Positive Pay Maintenance | 0.00 | |
| h) | Online Request | 0.00 |
Total Services 31,809,070 0.00
***Please project your costs in these areas based on the volume of claims in sections 1 and 2. Please note, this list is not inclusive.
Bank's Name
Workload A: Schedule of Services Cost Proposal for Option Year 1
Measured Account Services Volume Price Cost
| 1 | PAYMENT | |||
| a) | EFTs | 10,882,422 | 0.00 | |
| b) | Checks | 10,875,195 | 0.00 |
| 2 | Major Cost Items | |||
| a) | Deposted Items | 65,744 | 0.00 | |
| b) | ACH Addenda Records | 2,932,681 | 0.00 | |
| c) | Check Image Capture | 7,898,852 | 0.00 | |
| d) | Data Transmission - ACH Transactions | 105,050 | 0.00 | |
| e) | Data Transmission - Paid Items | 3,399 | 0.00 |
| 3 | All Other Charges*** | 0.00 | |
| a) | Account Maintenance | 0.00 | |
| b) | Additional Reconciliations | 0.00 | |
| c) | CD ROM Disks | 0.00 | |
| d) | CMS Mandated Reconciliations and Reports | 0.00 | |
| e) | Controlled Distribution Maintenance | 0.00 | |
| f) | Image Deposited Checks | 0.00 | |
| g) | Positive Pay Maintenance | 0.00 | |
| h) | Online Request | 0.00 |
Total Services 32,763,342 0.00
***Please project your costs in these areas based on the volume of claims in sections 1 and 2. Please note, this list is not inclusive.
Bank's Name
Workload A: Schedule of Services Cost Proposal for Option Year 2
Measured Account Services Volume Price Cost
| 1 | PAYMENT | |||
| a) | EFTs | 11,208,894 | 0.00 | |
| b) | Checks | 11,201,451 | 0.00 |
| 2 | Major Cost Items | |||
| a) | Deposted Items | 67,716 | 0.00 | |
| b) | ACH Addenda Records | 3,020,661 | 0.00 | |
| c) | Check Image Capture | 8,135,817 | 0.00 | |
| d) | Data Transmission - ACH Transactions | 108,201 | 0.00 | |
| e) | Data Transmission - Paid Items | 3,501 | 0.00 |
| 3 | All Other Charges*** | 0.00 | |
| a) | Account Maintenance | 0.00 | |
| b) | Additional Reconciliations | 0.00 | |
| c) | CD ROM Disks | 0.00 | |
| d) | CMS Mandated Reconciliations and Reports | 0.00 | |
| e) | Controlled Distribution Maintenance | 0.00 | |
| f) | Image Deposited Checks | 0.00 | |
| g) | Positive Pay Maintenance | 0.00 | |
| h) | Online Request | 0.00 |
Total Services 33,746,242 0.00
| ***Please project your costs in these areas based on the volume of claims in sections 1 and 2. Please note, this list is not inclusive. | |
| Bank's Name |
Workload A: Schedule of Services Cost Proposal for Option Year 3
Measured Account Services Volume Price Cost
| 1 | PAYMENT | |||
| a) | EFTs | 11,545,161 | 0.00 | |
| b) | Checks | 11,537,495 | 0.00 |
| 2 | Major Cost Items | |||
| a) | Deposted Items | 69,748 | 0.00 | |
| b) | ACH Addenda Records | 3,111,281 | 0.00 | |
| c) | Check Image Capture | 8,379,892 | 0.00 | |
| d) | Data Transmission - ACH Transactions | 111,447 | 0.00 | |
| e) | Data Transmission - Paid Items | 3,606 | 0.00 |
| 3 | All Other Charges*** | 0.00 | |
| a) | Account Maintenance | 0.00 | |
| b) | Additional Reconciliations | 0.00 | |
| c) | CD ROM Disks | 0.00 | |
| d) | CMS Mandated Reconciliations and Reports | 0.00 | |
| e) | Controlled Distribution Maintenance | 0.00 | |
| f) | Image Deposited Checks | 0.00 | |
| g) | Positive Pay Maintenance | 0.00 | |
| h) | Online Request | 0.00 |
Total Services 34,758,630 0.00
| ***Please project your costs in these areas based on the volume of claims in sections 1 and 2. Please note, this list is not inclusive. | |
| Bank's Name |
Workload A: Schedule of Services Cost Proposal for Option Year 4
Measured Account Services Volume Price Cost
| 1 | PAYMENT | |||
| a) | EFTs | 11,891,516 | 0.00 | |
| b) | Checks | 11,883,619 | 0.00 |
| 2 | Major Cost Items | |||
| a) | Deposted Items | 71,840 | 0.00 | |
| b) | ACH Addenda Records | 3,204,620 | 0.00 | |
| c) | Check Image Capture | 8,631,288 | 0.00 | |
| d) | Data Transmission - ACH Transactions | 114,791 | 0.00 | |
| e) | Data Transmission - Paid Items | 3,714 | 0.00 |
| 3 | All Other Charges*** | 0.00 | |
| a) | Account Maintenance | 0.00 | |
| b) | Additional Reconciliations | 0.00 | |
| c) | CD ROM Disks | 0.00 | |
| d) | CMS Mandated Reconciliations and Reports | 0.00 | |
| e) | Controlled Distribution Maintenance | 0.00 | |
| f) | Image Deposited Checks | 0.00 | |
| g) | Positive Pay Maintenance | 0.00 | |
| h) | Online Request | 0.00 |
Total Services 35,801,389 0.00
***Please project your costs in these areas based on the volume of claims in sections 1 and 2. Please note, this list is not inclusive.
Printed &D
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