T1683 State Supplied Price Sheet 7.17.26~1.xlsx
XLSX spreadsheet 12 KB Posted
- Attached to
- T1683 - Independent Health Care Appeals Program: Independent Utilization Review Organization, DOBI
- Solicitation number
- 26DPP01227
- Issued by
- New Jersey
About this file
This is a state-supplied price sheet for bid solicitation #26DPP01227 related to the T1683 Independent Health Care Appeals Program administered by the New Jersey Department of Banking and Insurance (DOBI). The solicitation seeks an Independent Utilization Review Organization to provide health care appeals review services. The contract encompasses three distinct service categories: Preliminary Reviews of Appeals, Full Reviews of Appeals, and Expedited Reviews of Appeals, with each service type required across a three-year contract term.
Bidders must submit firm fixed unit pricing for each of the three appeal review service types, with pricing specified separately for Contract Year 1, Contract Year 2, and Contract Year 3. All pricing must be entered in the designated yellow-highlighted cells of the state-supplied price sheet, with each service line item measured on a per-each basis. The price sheet format indicates that bidders will establish unit costs for individual appeal reviews rather than lump-sum pricing, allowing the state to pay per service rendered throughout the contract period.
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Text version
T1683 Price Sheet State-Supplied Price Sheet Bid Solicitation # 26DPP01227 T1683 – Independent Health Care Appeals Program: Independent Utilization Review Organization, DOBI
| Bidder Name | ||||||
| Instructions: Refer to Bid Solicitation Section 9.2, Definitions, for the definition of "Firm Fixed Price." Refer to Bid Solicitation Section 3.24, State-Supplied Price Sheet Instructions, for Bidder Instructions. The Bidder must record its pricing in the YELLOW highlighted cells only. | ||||||
| PRICE LINE | Description | Quantity | Unit of Measurement | Contract Year 1 | Contract Year 2 | Contract Year 3 |
| 1 | Firm Fixed Price for each Preliminary Review (Bid Solicitation Section 4.2.1, Preliminary Review of Appeals) | 1 | EACH | $0.00 | $0.00 | $0.00 | |||
| 2 | Firm Fixed Unit Price for each Full Review | ||||||||
| (Bid Solicitation Section 4.2.2, Full Review of Appeals) | 1 | EACH | $0.00 | $0.00 | $0.00 | ||||
| 3 | Firm Fixed Unit Price for each Expedited Review | ||||||||
| (Bid Solicitation Section 4.2.8.2, Expedited Reviews) | 1 | EACH | $0.00 | $0.00 | $0.00 |
File details come from the government source that posted it. Updated .