Fee Schedule Workload B

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Attached to
Commercial Banking Services for Medicare Administrative Contractors Federal contract opportunity
Solicitation number
rfp-cms-2009-0028
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

About this file

Addendum 3 part (b) - Workload B Schedule of Services Cost Proposal

Text of this file

Schedule Services Cost Proposal Bank's Name

Workload B: Schedule of Services Cost Proposal for Base Year

Measured Account Services Volume Price Cost

1PAYMENT
a)EFTs10,110,4670.00
b)Checks10,744,0920.00
2Major Cost Items
a)Deposted Items300,1020.00
b)ACH Addenda Records5,616,9190.00
c)Check Image Capture12,929,5870.00
d)Data Transmission - ACH Transactions1,835,1160.00
e)Data Transmission - Paid Items3,725,4090.00
3All Other Charges***0.00
a)Account Maintenance0.00
b)Additional Reconciliations0.00
c)CD ROM Disks0.00
d)CMS Mandated Reconciliations and Reports0.00
e)Controlled Distribution Maintenance0.00
f)Image Deposited Checks0.00
g)Positive Pay Maintenance0.00
h)Online Request0.00

Total Services 45,261,692 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 B: Schedule of Services Cost Proposal for Option Year 1

Measured Account Services Volume Price Cost

1PAYMENT
a)EFTs10,413,7810.00
b)Checks11,066,4150.00
2Major Cost Items
a)Deposted Items309,1050.00
b)ACH Addenda Records5,785,4270.00
c)Check Image Capture13,317,4750.00
d)Data Transmission - ACH Transactions1,890,1690.00
e)Data Transmission - Paid Items3,837,1710.00
3All Other Charges***0.00
a)Account Maintenance0.00
b)Additional Reconciliations0.00
c)CD ROM Disks0.00
d)CMS Mandated Reconciliations and Reports0.00
e)Controlled Distribution Maintenance0.00
f)Image Deposited Checks0.00
g)Positive Pay Maintenance0.00
h)Online Request0.00

Total Services 46,619,543 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 B: Schedule of Services Cost Proposal for Option Year 2

Measured Account Services Volume Price Cost

1PAYMENT
a)EFTs10,726,1940.00
b)Checks11,398,4070.00
2Major Cost Items
a)Deposted Items318,3780.00
b)ACH Addenda Records5,958,9890.00
c)Check Image Capture13,716,9990.00
d)Data Transmission - ACH Transactions1,946,8750.00
e)Data Transmission - Paid Items3,952,2860.00
3All Other Charges***0.00
a)Account Maintenance0.00
b)Additional Reconciliations0.00
c)CD ROM Disks0.00
d)CMS Mandated Reconciliations and Reports0.00
e)Controlled Distribution Maintenance0.00
f)Image Deposited Checks0.00
g)Positive Pay Maintenance0.00
h)Online Request0.00

Total Services 48,018,129 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 B: Schedule of Services Cost Proposal for Option Year 3

Measured Account Services Volume Price Cost

1PAYMENT
a)EFTs11,047,9800.00
b)Checks11,740,3590.00
2Major Cost Items
a)Deposted Items327,9300.00
b)ACH Addenda Records6,137,7590.00
c)Check Image Capture14,128,5090.00
d)Data Transmission - ACH Transactions2,005,2810.00
e)Data Transmission - Paid Items4,070,8550.00
3All Other Charges***0.00
a)Account Maintenance0.00
b)Additional Reconciliations0.00
c)CD ROM Disks0.00
d)CMS Mandated Reconciliations and Reports0.00
e)Controlled Distribution Maintenance0.00
f)Image Deposited Checks0.00
g)Positive Pay Maintenance0.00
h)Online Request0.00

Total Services 49,458,673 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 B: Schedule of Services Cost Proposal for Option Year 4

Measured Account Services Volume Price Cost

1PAYMENT
a)EFTs11,379,4200.00
b)Checks12,092,5700.00
2Major Cost Items
a)Deposted Items337,7670.00
b)ACH Addenda Records6,321,8920.00
c)Check Image Capture14,552,3640.00
d)Data Transmission - ACH Transactions2,065,4390.00
e)Data Transmission - Paid Items4,192,9810.00
3All Other Charges***0.00
a)Account Maintenance0.00
b)Additional Reconciliations0.00
c)CD ROM Disks0.00
d)CMS Mandated Reconciliations and Reports0.00
e)Controlled Distribution Maintenance0.00
f)Image Deposited Checks0.00
g)Positive Pay Maintenance0.00
h)Online Request0.00

Total Services 50,942,433 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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