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

This document replaces Addendum 3 (b) Workload B Schedule of Services Cost Proposal in this solicitation. This version is the same except for replacing the volumes in section 2 Major Cost Items in the base year and all option years with new amounts.

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 Items6,8380.00
b)ACH Addenda Records332,1980.00
c)Check Image Capture10,766,7050.00
d)Data Transmission - ACH Transactions30,2030.00
e)Data Transmission - Paid Items1,0400.00
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 31,991,543 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 1

Measured Account Services Volume Price Cost

1PAYMENT
a)EFTs10,413,7810.00
b)Checks11,066,4150.00
2Major Cost Items
a)Deposted Items7,0430.00
b)ACH Addenda Records342,1640.00
c)Check Image Capture11,089,7060.00
d)Data Transmission - ACH Transactions31,1090.00
e)Data Transmission - Paid Items1,0710.00
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 32,951,289 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 Items7,2540.00
b)ACH Addenda Records352,4290.00
c)Check Image Capture11,422,3970.00
d)Data Transmission - ACH Transactions32,0420.00
e)Data Transmission - Paid Items1,1030.00
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 33,939,828 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 Items7,4720.00
b)ACH Addenda Records363,0020.00
c)Check Image Capture11,765,0690.00
d)Data Transmission - ACH Transactions33,0040.00
e)Data Transmission - Paid Items1,1360.00
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 34,958,023 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 Items7,6960.00
b)ACH Addenda Records373,8920.00
c)Check Image Capture12,118,0210.00
d)Data Transmission - ACH Transactions33,9940.00
e)Data Transmission - Paid Items1,1710.00
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 36,006,763 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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Tripartite agreement.doc DOC document
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