|
CONTRACT ITEMS/SERVICES BY VENDOR
|
Vendor:
HORIZON CASUALTY SERVICES INC
ACH ELECTRONIC PAYMENT
|
Contract Number:
76599
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00001
|
COMM CODE:
958-61-044147
[MANAGEMENT SERVICES]
ITEM DESCRIPTION:
TOTAL PRICE FOR PROCESSING CLAIM THROUGH
A CLAIMS ADJUSTER - CONTRACT YEAR 1
(MAY 1, 2010 - APRIL 30, 2011).
|
2000.000
|
EACH
|
N/A
|
$179.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00002
|
COMM CODE:
958-61-044147
[MANAGEMENT SERVICES]
ITEM DESCRIPTION:
TOTAL PRICE FOR PROCESSING CLAIM THROUGH
A CLAIMS ADJUSTER - CONTRACT YEAR 2
(MAY 1, 2011 - APRIL 30, 2012).
|
2000.000
|
EACH
|
N/A
|
$184.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00003
|
COMM CODE:
958-61-044147
[MANAGEMENT SERVICES]
ITEM DESCRIPTION:
TOTAL PRICE FOR PROCESSING CLAIM THROUGH
A CLAIMS ADJUSTER - CONTRACT YEAR 3
(MAY 1, 2012 - APRIL 30, 2013).
|
2000.000
|
EACH
|
N/A
|
$190.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00004
|
COMM CODE:
958-61-044147
[MANAGEMENT SERVICES]
ITEM DESCRIPTION:
TOTAL PRICE FOR PROCESSING CLAIM THROUGH
A CLAIMS ADJUSTER - CONTRACT YEAR 4
(MAY 1, 2013 - APRIL 30, 2014).
|
2000.000
|
EACH
|
N/A
|
$196.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00005
|
COMM CODE:
958-61-044147
[MANAGEMENT SERVICES]
ITEM DESCRIPTION:
TOTAL PRICE FOR PROCESSING CLAIM THROUGH
A CLAIMS ADJUSTER - CONTRACT YEAR 5
(MAY 1, 2014 - APRIL 30, 2015).
|
2000.000
|
EACH
|
N/A
|
$202.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00006
|
COMM CODE:
958-61-044147
[MANAGEMENT SERVICES]
ITEM DESCRIPTION:
TOTAL PRICE FOR PROCESSING CLAIM THROUGH
A MEDICAL MANAGER - CONTRACT YEAR 1
(MAY 1, 2010 - APRIL 30, 2011).
|
5000.000
|
EACH
|
N/A
|
$516.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00007
|
COMM CODE:
958-61-044147
[MANAGEMENT SERVICES]
ITEM DESCRIPTION:
TOTAL PRICE FOR PROCESSING CLAIM THROUGH
A MEDICAL MANAGER - CONTRACT YEAR 2
(MAY 1, 2011 - APRIL 30, 2012).
|
5000.000
|
EACH
|
N/A
|
$531.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00008
|
COMM CODE:
958-61-044147
[MANAGEMENT SERVICES]
ITEM DESCRIPTION:
TOTAL PRICE FOR PROCESSING CLAIM THROUGH
A MEDICAL MANAGER - CONTRACT YEAR 3
(MAY 1, 2012 - APRIL 30, 2013).
|
5000.000
|
EACH
|
N/A
|
$547.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00009
|
COMM CODE:
958-61-044147
[MANAGEMENT SERVICES]
ITEM DESCRIPTION:
TOTAL PRICE FOR PROCESSING CLAIM THROUGH
A MEDICAL MANAGER - CONTRACT YEAR 4
(MAY 1, 2013 - APRIL 30, 2014).
|
5000.000
|
EACH
|
N/A
|
$563.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00010
|
COMM CODE:
958-61-044147
[MANAGEMENT SERVICES]
ITEM DESCRIPTION:
TOTAL PRICE FOR PROCESSING CLAIM THROUGH
A MEDICAL MANAGER - CONTRACT YEAR 5
(MAY 1, 2014 - APRIL 30, 2015).
|
5000.000
|
EACH
|
N/A
|
$580.00000
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00011
|
COMM CODE:
958-61-044147
[MANAGEMENT SERVICES]
ITEM DESCRIPTION:
TOTAL PRICE FOR PROCESSING TAKEOVER
CLAIM THROUGH A CLAIMS ADJUSTER.
|
1.000
|
EACH
|
NET
|
N/A
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00012
|
COMM CODE:
958-61-044147
[MANAGEMENT SERVICES]
ITEM DESCRIPTION:
TOTAL PRICE FOR PROCESSING TAKEOVER
CLAIM THROUGH A MEDICAL MANAGER.
|
1.000
|
EACH
|
NET
|
N/A
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00013
|
COMM CODE:
958-61-044147
[MANAGEMENT SERVICES]
ITEM DESCRIPTION:
TOTAL PRICE FOR PROCESSING RE-OPEN
CLAIM THROUGH A CLAIMS ADJUSTER.
|
1.000
|
EACH
|
NET
|
N/A
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00014
|
COMM CODE:
958-61-044147
[MANAGEMENT SERVICES]
ITEM DESCRIPTION:
TOTAL PRICE FOR PROCESSING RE-OPEN
CLAIM THROUGH A MEDICAL MANAGER.
|
1.000
|
EACH
|
NET
|
N/A
|
| LINE# |
DESCRIPTION/MFGR/BRAND |
EST QUANTITY |
UNIT |
% DISCOUNT |
UNIT PRICE |
|
00015
|
COMM CODE:
958-61-044147
[MANAGEMENT SERVICES]
ITEM DESCRIPTION:
ALL INCLUSIVE FIRM FIXED PRICE TO
PROVIDE A 1-800 NUMBER DURING OFF
BUSINESS HOURS.
|
1.000
|
EACH
|
NET
|
N/A
|