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Index #:	T-1836
Contract #:	70703
Contract Period:	FROM:   01/01/08   TO:   06/30/13
Applicable To:	SELECTED STATE AGENCIES
Cooperative Purchasing:	NOT APPLICABLE
Vendor Name & Address:	HEALTH MANAGEMENT SYSTEMS INC ACH ELECTRONIC PAYMENTS 401 PARK AVENUE SOUTH NEW YORK, NY 10016
For Procurement Bureau Use:
Solicitation #:	39646
Bid Open Date:	08/30/07
CID #:	1034745
Commodity Code:	946-11
Set-Aside:	SMALL BUSINESS SUBCONTRACTING

CONDITIONS AND METHODS OF OPERATION Multi-Source Contracts: State Agencies and Cooperative Purchasing partners should review each vendor's product/service and prices carefully and place orders in accordance with the terms and conditions of the contract. Note that A. Delivery: All prices F.O.B. Destination B. Method of Operation - State Agencies Only: Issue an agency purchase order to the appropriate contract vendor(s).

In the event of an emergency, contact the following in the order listed:

JONATHAN WALLACE	PROCUREMENT SPECIALIST	609-341-2976
LISA DUBOIS	ASSISTANT DIRECTOR	609-292-6817
	PUB DATE:	01/11/13

VENDOR INFORMATION
Vendor Name & Address:	HEALTH MANAGEMENT SYSTEMS INC ACH ELECTRONIC PAYMENTS 401 PARK AVENUE SOUTH NEW YORK, NY 10016
Contact Person:	KIMERLY GLENN
Contact Phone:	704-927-8310
Order Fax:	212-857-5110
Contract#:	70703
Expiration Date:	06/30/13
Terms:	NONE
Delivery:	30 DAYS ARO
Small Business Enterprise:	NO
Minority Business Enterprise:	NO
Women Business Enterprise:	NO
Cooperative Purchasing *:	NO
* WILL VENDOR EXTEND CONTRACT PRICES TO COOPERATIVE PURCHASING PARTICIPANTS?

CONTRACT ITEMS/SERVICES BY VENDOR
Vendor:  HEALTH MANAGEMENT SYSTEMS INC ACH ELECTRONIC PAYMENTS		Contract Number:  70703
UNLESS SPECIFIED OTHERWISE BELOW: SHIP TO: 547540 / S001 GENERAL SERVICES UNIT (DMAHS) 7 QUAKERBRIDGE PLAZA TRENTON NJ 08625-0712
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00001	COMM CODE:  946-11-073510 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS COMMERCIAL HEALTH CARRIERS (SECTION 3.5A) DELIVERY: 30 DAYS ARO	1.000	PCNT	N/A	$4.09000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00002	COMM CODE:  946-11-073667 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY (SECTION 3.5B)	1.000	PCNT	N/A	$4.09000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00003	COMM CODE:  946-11-073668 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS BLUE CROSS BLUE SHIELD PLANS OF OTHER STATES (SECTION 3.5C)	1.000	PCNT	N/A	$4.09000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00004	COMM CODE:  946-11-073669 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS UNION HEALTH AND WELFARE PLANS (SECTION 3.5D)	1.000	PCNT	N/A	$4.09000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00005	COMM CODE:  946-11-073670 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS CHAMPUS (SECTION 3.5E)	1.000	PCNT	N/A	$2.85000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00006	COMM CODE:  946-11-073671 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS MEDICARE PART A (INCLUDING BUY-IN) (SECTION 3.5F)	1.000	PCNT	N/A	$2.38000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00007	COMM CODE:  946-11-073672 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS MEDICARE PART B (INCLUDING BUY-IN) (SECTION 3.5G)	1.000	PCNT	N/A	$2.38000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00008	COMM CODE:  946-11-073673 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS MEDICARE PART C (INCLUDING BUY-IN) (SECTION 3.5H)	1.000	PCNT	N/A	$2.38000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00009	COMM CODE:  946-11-073674 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS MEDICARE PART D (SECTION 3.5I)	1.000	PCNT	N/A	$2.38000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00010	COMM CODE:  946-11-073675 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS DUPLICATIVE OR EXCESSIVE CLAIMS PAYMENT (SECTION 3.5J)	1.000	PCNT	N/A	NO CHARGE
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00011	COMM CODE:  946-11-073676 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS DUPLICATIVE OR EXCESSIVE STATE PAYMENTS (SECTION 3.5K)	1.000	PCNT	N/A	NO CHARGE
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00012	COMM CODE:  946-11-073677 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS TORT/TRAUMA CASES: OTHER RECORDS (SECTION 3.5L)	1.000	PCNT	N/A	NO CHARGE
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00013	COMM CODE:  946-11-073678 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS TORT/TRAUMA CASES: CLAIMS RECORDS (SECTION 3.5M)	1.000	PCNT	N/A	NO CHARGE
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00014	COMM CODE:  946-11-073679 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS ONSITE AUDITS OF PROVIDER FINANCIAL RECORDS (SECTION 3.5N)	1.000	PCNT	N/A	NO CHARGE
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00015	COMM CODE:  946-11-073680 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS ONSITE AUDITS OF PROVIDER MEDICAL RECORDS (SECTION 3.5O)	1.000	PCNT	N/A	NO CHARGE
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00016	COMM CODE:  946-11-073681 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS DUAL PROGRAM ELIGIBLES (SECTION 3.5P)	1.000	PCNT	N/A	NO CHARGE
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00017	COMM CODE:  946-11-073682 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS PROGRAM APPLICATION AND TPL FORM (SECTION 3.5Q)	1.000	PCNT	N/A	$4.09000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00018	COMM CODE:  946-11-073683 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS ADDP APPLICATION FORMS AND FILES (SECTION 3.5R)	1.000	PCNT	N/A	$4.09000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00019	COMM CODE:  946-11-073684 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS STATE PROGRAM ELIGIBILITY FILES (SECTION 3.5S)	1.000	PCNT	N/A	NO CHARGE
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00020	COMM CODE:  946-11-073685 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS NJ DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT (SECTION 3.5T)	1.000	PCNT	N/A	$4.09000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00021	COMM CODE:  946-11-073686 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS CREDIT BUREAU RECORDS (SECTION 3.5U)	1.000	PCNT	N/A	$4.09000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00022	COMM CODE:  946-11-073687 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS SUPPLEMENTATION OF STATE'S ESTATE IDENTIFICATION (SECTION 3.5V)	1.000	PCNT	N/A	NO CHARGE
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00023	COMM CODE:  946-11-073688 [FINANCIAL SERVICES]   ITEM DESCRIPTION: IDENTIFICATIONS SUPPLEMENTATION OF STATE'S IDENTIFICATION OF DECEDENTS (SECTION 3.5L)	1.000	PCNT	N/A	NO CHARGE
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00024	COMM CODE:  946-11-073689 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES COMMERICAL HEALTH CARRIERS (SECTION 3.5A)	1.000	PCNT	N/A	$9.50000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00025	COMM CODE:  946-11-073690 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES HORIZON BLUE CROSS BLUE SHIELD NJ (SECTION 3.5B)	1.000	PCNT	N/A	$9.50000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00026	COMM CODE:  946-11-073691 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES BLUE CROSS BLUE SHIELD PLANS OF OTHER STATES (SECTION 3.5C)	1.000	PCNT	N/A	$9.50000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00027	COMM CODE:  946-11-073692 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES UNION HEALTH AND WELFARE PLANS (SECTION 3.5D)	1.000	PCNT	N/A	$9.50000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00028	COMM CODE:  946-11-073693 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES CHAMPUS (SECTION 3.5D)	1.000	PCNT	N/A	$8.55000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00029	COMM CODE:  946-11-073694 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES MEDICARE PART A/B INSTITUTIONAL (SECTION 3.5F)	1.000	PCNT	N/A	$7.60000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00030	COMM CODE:  946-11-073695 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES MEDICARE PART B NON-INSTITUTIONAL (SECTION 3.5G)	1.000	PCNT	N/A	$8.55000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00031	COMM CODE:  946-11-073696 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES MEDICARE PART C (SECTION 3.5H)	1.000	PCNT	N/A	$8.55000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00032	COMM CODE:  946-11-073697 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES MEDICARE PART D (SECTION 3.5I)	1.000	PCNT	N/A	$8.55000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00033	COMM CODE:  946-11-073698 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES DUPLICATIVE OF EXCESSIVE CLAIMS PAYMENTS (SECTION 3.5J)	1.000	PCNT	N/A	$8.55000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00034	COMM CODE:  946-11-073699 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES DUPLICATIVE OR EXCESSIVE STATE PAYMENTS (SECTION 3.5K)	1.000	PCNT	N/A	$8.55000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00035	COMM CODE:  946-11-073700 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES TORT/TRAUMA CASES: TRAUMA MAILER AND OTHER RECORDS (SECTION 3.5L)	1.000	PCNT	N/A	$5.70000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00036	COMM CODE:  946-11-073701 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES TORT/TRAUMA CASES: CLAIMS RECORDS (SECTION 3.5M)	1.000	PCNT	N/A	$5.70000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00037	COMM CODE:  946-11-073702 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES ONSITE AUDITS OF PROVIDER FINANCIAL RECORDS (SECTION 3.5N)	1.000	PCNT	N/A	$9.03000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00038	COMM CODE:  946-11-073703 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES ONSITE AUDITS OF PROVIDER MEDICAL RECORD (SECTION 3.5O)	1.000	PCNT	N/A	$12.50000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00039	COMM CODE:  946-11-073704 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES DUAL PROGRAM ELIGIBLES (SECTION 3.5P)	1.000	PCNT	N/A	$9.03000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00040	COMM CODE:  946-11-073705 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES PROGRAM APPLICATION AND TPL FORM (SECTION 3.5Q)	1.000	PCNT	N/A	$9.03000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00041	COMM CODE:  946-11-073706 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES ADDP APPLICATION FORMS AND FILES (SECTION 3.5R)	1.000	PCNT	N/A	$9.03000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00042	COMM CODE:  946-11-073707 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES STATE PROGRAM ELIGIBILITY FILES (SECTION 3.5S)	1.000	PCNT	N/A	$9.03000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00043	COMM CODE:  946-11-073708 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES NJ DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT (SECTION 3.5T)	1.000	PCNT	N/A	$9.50000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00044	COMM CODE:  946-11-073709 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES CREDIT BUREAU RECORDS (SECTION 3.5U)	1.000	PCNT	N/A	$9.50000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00045	COMM CODE:  946-11-073710 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES SUPPLEMENTATION OF STATE'S ESTATE IDENTIFICATION (SECTION 3.5V)	1.000	PCNT	N/A	$5.70000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00046	COMM CODE:  946-11-073711 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES STATE REFERRAL OF ESTATE IDENTIFICATIONS (SECTION 3.6.8B)	1.000	PCNT	N/A	$5.70000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00047	COMM CODE:  946-11-073712 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES SUPPLEMENTATION OF STATE'S TORT IDENTIFICATION (SECTION 3.6.8A)	1.000	PCNT	N/A	$5.70000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00048	COMM CODE:  946-11-073713 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES STATE REFERRAL OF TORT IDENTIFICATIONS (SECTION 3.6.9)	1.000	PCNT	N/A	$5.70000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00049	COMM CODE:  946-11-073714 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES STATE REFERRAL OF CBOSS INCORRECT PAYMENT CASES (SECTION 3.6.8C)	1.000	PCNT	N/A	$8.55000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00050	COMM CODE:  946-11-073715 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES STATE REFERRAL OF RETURNED TRAUMA MAILER CASESS (SECTION 3.6.8D) DELIVERY: 30 DAYS ARO	1.000	PCNT	N/A	$5.70000
LINE#	DESCRIPTION/MFGR/BRAND	EST QUANTITY	UNIT	% DISCOUNT	UNIT PRICE
00051	COMM CODE:  946-11-073716 [FINANCIAL SERVICES]   ITEM DESCRIPTION: RECOVERIES OVERPAYMENTS MADE OF BEHALF OF DECEDENTS (SECTION 3.5.1) DELIVERY: 30 DAYS ARO	1.000	PCNT	N/A	$9.50000

Downloadable RFP Documents (Please utilize scroll bar on right side of box if necessary to view all documents)

The Download All Documents hyperlink will place compressed files on your computer. Files may be unzipped and viewed using WinZip. The evaluation version is available for free. Click here to learn more about WinZip or to download the latest version from the WinZip web site. Forms in this section are stored in Adobe Acrobat (PDF) format. PDF formatted documents appear the same as the original printed forms. To view and print these forms, you must have a PDF viewer which is available free from Adobe. Click here to learn more about Adobe Acrobat or to download the latest version of the Adobe Acrobat viewer from the Adobe Web site.