PricingScheduleRevised972007.pdf

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Medical Adjudication Services Correction
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RFQ100-0006-07
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Amendment 7 Revised Pricing Schedule

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REVISED PRICING SCHEDULE 9/7/2007

MEDICAL CLAIMS ADJUDICATION SERVICE

All offerors shall fill out this form completely and may submit other methods of pricing along with this form.

(A) TWO YEAR BASE PERIOD:

Effective Date of Award (DOA) thru 24 Months, will include only Federal Correctional Complex Butner, Butner, North Carolina.

MEDICAL CLAIMS:

Estimated claims 8,000 per 12-month period, times 2 years.

Price Per claim: $ X 16,000 = $

(B) OPTION PERIOD 1

Effective from month 25 thru month 36, will include Federal Correctional Complex Butner, Butner, North Carolina, plus remainder of BOP institutions in the Mid-Atlantic Region and all institutions in the Northeast and Southeast Regions.

MEDICAL CLAIMS:

Estimated claims 88,000 per this 12-month period.

Price Per claim: $ X 88,000 = $

(C) OPTION PERIOD 2

Effective from month 37 thru month 48, will include all Option Period 1 institutions plus all institutions in the North-Central, South-Central and Western Regions.

MEDICAL CLAIMS:

Estimated claims 151,700 per this 12-month period.

Price Per claim: $ X 151,700 = $

(D) OPTION PERIOD 3

Effective from month 49 thru month 60, will include all BOP institutions.

MEDICAL CLAIMS:

Estimated claims 151,700 per this 12-month period.

Price Per claim: $ X 151,700 = $

TOTAL: Base and all Option periods:$

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