T3110 Attachment 3 - State-Supplied Price Sheet 10.14.25~1.xlsx
XLSX spreadsheet 27 KB Posted
- Solicitation number
- 26DPP01218
- Issued by
- New Jersey
About this file
This is a State-Supplied Price Sheet for a contract (T3110) covering Medical Claims Reviewer and Data Management Services, as well as Pharmacy Benefits Claims Reviewer and Technical Support Services. The document appears to be for Update 26DPP01218 and outlines comprehensive pricing structures across five distinct parts for two separate scopes of work. The contract includes development, implementation, maintenance, and operations phases for medical claims and pharmacy benefits claims review systems, with provisions for a five-year term.
The price sheet details all-inclusive hourly rates for key personnel roles such as Account Executives, Account Managers/Project Managers, Systems/Technical Leads, and Project Support Staff. While the specific dollar amounts are not filled in (showing $ - 0), the document provides a structured pricing framework that covers system development, implementation, annual maintenance, operational costs, and hourly rates. The pricing model also includes potential recovery/shared savings components for pre-payment and post-payment claims audits, as well as a technology fee per script for pharmacy benefit invoice reviews, indicating a performance-based compensation approach.
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Text version
Price Sheet, Scope 1 Update
26DPP01218
T3110- Medical Claims Reviewer and Data Management Services (Scope 1)
Bidder Name:
| Part 1 - Development | ||
| Line # | Description | Firm Fixed Price |
| 1 | Development of the Medical Claims Reviewer System | $ - 0 |
| 2 | Development of the Data Management System | $ - 0 |
| Part 1 Total: | $ - 0 |
| Part 2 - Implementation | ||
| Line # | Description | Firm Fixed Price |
| 3 | Implementation of the Medical Claims Reviewer System | $ - 0 |
| 4 | Implementation of the Data Management System | $ - 0 |
| Part 2 Total: | $ - 0 |
| Part 3 - Maintenance and Operations | |||||||
| Line # | Description | Firm Fixed Annual Price | |||||
| Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | |||
| 5 | Maintenance and Operation of the Medical Claims Reviewer System | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |
| 6 | Maintenance and Operation of the Data Management System | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |
| 7 | Training and Support for DPB Staff | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |
| 8 | Analytics Review and Support | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |
| Part 3 Total Annual Costs: | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||
| Part 3 Total: | $ - 0 | ||||||
| Part 4- All-Inclusive Hourly Rates (Section 4.7) | |||||||
| Line # | Job Function | Proposed Job Title | All-Inclusive Hourly Rate | ||||
| 9 | Account Executive | $ - 0 | |||||
| 10 | Account Manager/Project Manager | $ - 0 | |||||
| 11 | Systems/Technical Lead | $ - 0 | |||||
| 12 | Project Support Staff | $ - 0 |
| Part 5 - Recovery/Shared Savings (Medical Claims Review - Section 4.1.3) | ||
| Line # | Job Function | % of Documented Recovered Amount |
| 13 | Pre-Payment Claims Audit for Medical Claims Review | % |
| 14 | Post-Payment Claims Audit for Medical Claims Review | % |
Price Sheet, Scope 2 Update
26DPP01218
T3110- Pharmacy Benefits Claims Reviewer and Technical Support Services (Scope 2)
Bidder Name:
| Part 1 - Development | ||
| Line # | Description | Firm Fixed Price |
| 1 | Development of the Required Systems for the Pharmacy Benefits Claims Reviewer | $ - 0 |
| Part 1 Total: | $ - 0 |
| Part 2 - Implementation | ||
| Line # | Description | Firm Fixed Price |
| 2 | Implementation of the Pharmacy Benefits Claims Reviewer Systems and Processes | $ - 0 |
| Part 2 Total: | $ - 0 |
| Part 3 - Maintenance and Operations | |||||||
| Line # | Description | Firm Fixed Price | |||||
| Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | |||
| 3 | Maintenance and Operation of the Pharmacy Beneftis Claims Reviewer Systems and Processes | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | |
| Part 3 Total Annual Costs: | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||
| Part 3 Total: | $ - 0 | ||||||
| Part 4- All-Inclusive Hourly Rates (Section 4.7) | |||||||
| Line # | Job Function | Proposed Job Title | All Inclusive Hourly Rate | ||||
| 4 | Account Executive | $ - 0 | |||||
| 5 | Account Manager/Project Manager | $ - 0 | |||||
| 6 | Systems/Technical Lead | $ - 0 | |||||
| 7 | Project Support Staff | $ - 0 | |||||
| Part 5 - All-Inclusive Technology Fee Per Script (4.6.1) | |||||||
| Line # | Description | Fee Per Script | |||||
| 8 | Claim Analyzation (100%) for PBM Invoice Review | $ - 0 | |||||
| Part 5 Total: | $ - 0 |
File details come from the government source that posted it. Updated .