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Deliverable Number
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Commodity/Service Type
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Major Deliverable
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Method of Payment
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Medical office services
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Type VII Assignment - Temporary Catastrophe Adjusters at $105.00 per hour
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Fixed Fee / Unit Rate
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| Major Deliverable: Type VII Assignment - Temporary Catastrophe Adjusters at $105.00 per hour
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| Deliverable Price: $105.00 |
| Non Price Justification: |
| Performance Metrics: Completed hour of temporary catastrophe adjusters services. |
| Financial Consequences: $100-$500 per assignment/adjuster for non-compliance with contract requirements
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| Source Documentation Page Reference: 24 |
| Deliverable Number: |
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Medical office services
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Type VI Assignment - Heavy Equipment and Structural Property Damage Appraisal at $250.00 - $750.00 e...
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Fixed Fee / Unit Rate
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| Major Deliverable: Type VI Assignment - Heavy Equipment and Structural Property Damage Appraisal at $250.00 - $750.00 each
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| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Completed heavy equipment and structural property damage appraisal. |
| Financial Consequences: $50-$100 per assignment for non-compliance with contract requirements
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| Source Documentation Page Reference: 24 |
| Deliverable Number: |
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Medical office services
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Type 1 Assignment - Special Investigation/Field Contact @ $65.00 per hour
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Fixed Fee / Unit Rate
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| Major Deliverable: Type 1 Assignment - Special Investigation/Field Contact @ $65.00 per hour
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| Deliverable Price: $65.00 |
| Non Price Justification: |
| Performance Metrics: Completed hour of special investigation services. |
| Financial Consequences: $50-$100 per assignment for non-compliance with contract requirements
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| Source Documentation Page Reference: 22 |
| Deliverable Number: |
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Medical office services
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Type II Assignment - External Full Handling and Processing of a Claim @ $66.00 per hour
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Fixed Fee / Unit Rate
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| Major Deliverable: Type II Assignment - External Full Handling and Processing of a Claim @ $66.00 per hour
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| Deliverable Price: $66.00 |
| Non Price Justification: |
| Performance Metrics: Completed hour of External Full Handling services. |
| Financial Consequences: $100-$500 per assignment for non-compliance with contract requirements
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| Source Documentation Page Reference: 22-23 |
| Deliverable Number: |
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Medical office services
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Type III Assignment - Temporary Claims Processing Services and Special Projects at $66.00 per hour
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Fixed Fee / Unit Rate
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| Major Deliverable: Type III Assignment - Temporary Claims Processing Services and Special Projects at $66.00 per hour |
| Deliverable Price: $66.00 |
| Non Price Justification: |
| Performance Metrics: Completed hour of temporary claims processing services. |
| Financial Consequences: $100-$250 per assignment/adjuster for non-compliance with contract requirements
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| Source Documentation Page Reference: 23 |
| Deliverable Number: |
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Medical office services
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Type IV Assignment - Investigation of Possible Insurance Fraud/On-site Investigator at $65.00 per ho...
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Fixed Fee / Unit Rate
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| Major Deliverable: Type IV Assignment - Investigation of Possible Insurance Fraud/On-site Investigator at $65.00 per hour
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| Deliverable Price: $65.00 |
| Non Price Justification: |
| Performance Metrics: Completed hour of investigation of possible insurance fraud services. |
| Financial Consequences: $100-$500 per assignment for non-compliance with contract requirements
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| Source Documentation Page Reference: 23 |
| Deliverable Number: |
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Medical office services
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Type V Assignment - Observational Activity at $55.00 per hour
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Fixed Fee / Unit Rate
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| Major Deliverable: Type V Assignment - Observational Activity at $55.00 per hour
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| Deliverable Price: $55.00 |
| Non Price Justification: |
| Performance Metrics: Completed hour of observational activity. |
| Financial Consequences: $50-$100 per assignment for non-compliance with contract requirements
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| Source Documentation Page Reference: 23-24 |
| Deliverable Number: |
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Medical office services
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Type VI Assignment - Automobile Property Damage Appraisal at $95.00 each
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Fixed Fee / Unit Rate
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| Major Deliverable: Type VI Assignment - Automobile Property Damage Appraisal at $95.00 each
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| Deliverable Price: $95.00 |
| Non Price Justification: |
| Performance Metrics: Completed automobile property damage appraisal. |
| Financial Consequences: $50-$100 per assignment for non-compliance with contract requirements
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| Source Documentation Page Reference: 24 |
| Deliverable Number: |
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Medical office services
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Type VI Assignment - Marine Property or Equipment Appraisal at $250.00 - $750.00 each
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Fixed Fee / Unit Rate
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| Major Deliverable: Type VI Assignment - Marine Property or Equipment Appraisal at $250.00 - $750.00 each
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| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Completed marine property or equipment appraisal. |
| Financial Consequences: $50-$100 per assignment for non-compliance with contract requirements
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| Source Documentation Page Reference: 24 |
| Deliverable Number: |
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Medical office services
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Renewal Year 1: Type 1 Assignment - Special Investigation/Field Contact @ $68.00 per hour
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Fixed Fee / Unit Rate
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| Major Deliverable: Renewal Year 1: Type 1 Assignment - Special Investigation/Field Contact @ $68.00 per hour
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| Deliverable Price: $68.00 |
| Non Price Justification: |
| Performance Metrics: Accurate and timely services and reporting
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| Financial Consequences: $50-$100 per assignment for non-compliance with contract requirements
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| Source Documentation Page Reference: 22 |
| Deliverable Number: |
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Medical office services
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Renewal Year 1: Type II Assignment - External Full Handling and Processing of a Claim @ $69.00 per h...
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Fixed Fee / Unit Rate
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| Major Deliverable: Renewal Year 1: Type II Assignment - External Full Handling and Processing of a Claim @ $69.00 per hour
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| Deliverable Price: $69.00 |
| Non Price Justification: |
| Performance Metrics: Accurate and timely services and reporting
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| Financial Consequences: $100-$500 per assignment for non-compliance with contract requirements
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| Source Documentation Page Reference: 22-23 |
| Deliverable Number: |
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Medical office services
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Renewal Year 1: Type III Assignment - Temporary Claims Processing Services and Special Projects at $...
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Fixed Fee / Unit Rate
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| Major Deliverable: Renewal Year 1: Type III Assignment - Temporary Claims Processing Services and Special Projects at $69.00 per hour
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| Deliverable Price: $69.00 |
| Non Price Justification: |
| Performance Metrics: Accurate and timely services and reporting
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| Financial Consequences: $100-$250 per assignment/adjuster for non-compliance with contract requirements
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| Source Documentation Page Reference: 23 |
| Deliverable Number: |
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Medical office services
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Renewal Year 1: Type IV Assignment - Investigation of Possible Insurance Fraud/On-site Investigator ...
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Fixed Fee / Unit Rate
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| Major Deliverable: Renewal Year 1: Type IV Assignment - Investigation of Possible Insurance Fraud/On-site Investigator at $68.00 per hour
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| Deliverable Price: $68.00 |
| Non Price Justification: |
| Performance Metrics: Accurate and timely services and reporting
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| Financial Consequences: $100-$500 per assignment for non-compliance with contract requirements
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| Source Documentation Page Reference: 23 |
| Deliverable Number: |
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Medical office services
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Renewal Year 1: Type V Assignment - Observational Activity at $58.00 per hour
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Fixed Fee / Unit Rate
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| Major Deliverable: Renewal Year 1: Type V Assignment - Observational Activity at $58.00 per hour
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| Deliverable Price: $58.00 |
| Non Price Justification: |
| Performance Metrics: Accurate and timely services and reporting
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| Financial Consequences: $50-$100 per assignment for non-compliance with contract requirements
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| Source Documentation Page Reference: 23-24 |
| Deliverable Number: |
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Medical office services
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Renewal Year 1: Type VI Assignment - Automobile Property Damage Appraisal at $99.00 each
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Fixed Fee / Unit Rate
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| Major Deliverable: Renewal Year 1: Type VI Assignment - Automobile Property Damage Appraisal at $99.00 each
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| Deliverable Price: $99.00 |
| Non Price Justification: |
| Performance Metrics: Accurate and timely services and reporting
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| Financial Consequences: $50-$100 per assignment for non-compliance with contract requirements
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| Source Documentation Page Reference: 24 |
| Deliverable Number: |
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Medical office services
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Renewal Year 1: Type VI Assignment - Heavy Equipment and Structural Property Damage Appraisal at $26...
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Fixed Fee / Unit Rate
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| Major Deliverable: Renewal Year 1: Type VI Assignment - Heavy Equipment and Structural Property Damage Appraisal at $262.00 - $787.00 each
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| Deliverable Price: $787.00 |
| Non Price Justification: |
| Performance Metrics: Accurate and timely services and reporting
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| Financial Consequences: $50-$100 per assignment for non-compliance with contract requirements
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| Source Documentation Page Reference: 24 |
| Deliverable Number: |
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Medical office services
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Renewal Year 1: Type VI Assignment - Marine Property or Equipment Appraisal at $282.00 - $787.00 eac...
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Fixed Fee / Unit Rate
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| Major Deliverable: Renewal Year 1: Type VI Assignment - Marine Property or Equipment Appraisal at $282.00 - $787.00 each
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| Deliverable Price: $787.00 |
| Non Price Justification: |
| Performance Metrics: Accurate and timely services and reporting
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| Financial Consequences: $50-$100 per assignment for non-compliance with contract requirements
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| Source Documentation Page Reference: 24 |
| Deliverable Number: |
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Medical office services
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Renewal Year 1: Type VI Assignment - Guarantee availability of at least five temporary catatrophe ad...
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Fixed Fee / Unit Rate
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| Major Deliverable: Renewal Year 1: Type VI Assignment - Guarantee availability of at least five temporary catatrophe adjusters upon Department request for one time fee of $3,000.00 per year
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| Deliverable Price: $3,000.00 |
| Non Price Justification: |
| Performance Metrics: Accurate and timely services
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| Financial Consequences: $100-$500 per assignment/adjuster for non-compliance with contract requirements
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| Source Documentation Page Reference: 24 |
| Deliverable Number: |
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Medical office services
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Renewal Year 1: Type VII Assignment - Temporary Catastrophe Adjusters at $110.00 per hour
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Fixed Fee / Unit Rate
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| Major Deliverable: Renewal Year 1: Type VII Assignment - Temporary Catastrophe Adjusters at $110.00 per hour
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| Deliverable Price: $110.00 |
| Non Price Justification: |
| Performance Metrics: Accurate and timely services and reporting
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| Financial Consequences: $100-$500 per assignment/adjuster for non-compliance with contract requirements
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| Source Documentation Page Reference: 24 |
| Deliverable Number: |
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Medical office services
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Renewal Year 2: Type III Assignment - Temporary Claims Processing Services and Special Projects
*A...
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Fixed Fee / Unit Rate
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| Major Deliverable: Renewal Year 2: Type III Assignment - Temporary Claims Processing Services and Special Projects
*Adjuster with five or more years or experience |
| Deliverable Price: $71.00 |
| Non Price Justification: |
| Performance Metrics: Accurate and timely services and reporting |
| Financial Consequences: $100-$250 per assignment/adjuster for non-compliance with contract requirements. |
| Source Documentation Page Reference: Renewal 1 page 8 |
| Deliverable Number: |
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Medical office services
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Renewal Year 2: Type III Assignment - Temporary Claims Processing Services and Special Projects
*A...
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Fixed Fee / Unit Rate
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| Major Deliverable: Renewal Year 2: Type III Assignment - Temporary Claims Processing Services and Special Projects
*Adjuster with four to five years of experience |
| Deliverable Price: $66.00 |
| Non Price Justification: |
| Performance Metrics: Accurate and timely services and reporting |
| Financial Consequences: $100-$250 per assignment/adjuster for non-compliance with contract requirements |
| Source Documentation Page Reference: Renewal 1 page 8 |
| Deliverable Number: |
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Medical office services
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Renewal Year 2: Type III Assignment - Temporary Claims Processing Services and Special Projects
*A...
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Fixed Fee / Unit Rate
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| Major Deliverable: Renewal Year 2: Type III Assignment - Temporary Claims Processing Services and Special Projects
*Adjuster with three to four years of experience |
| Deliverable Price: $61.00 |
| Non Price Justification: |
| Performance Metrics: Accurate and timely services and reporting |
| Financial Consequences: $100-$250 per assignment/adjuster for non-compliance with contract requirements |
| Source Documentation Page Reference: Renewal 1 page 8 |
| Deliverable Number: |
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Medical office services
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Renewal Year 2: Type III Assignment - Temporary Claims Processing Services and Special Projects
*A...
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Fixed Fee / Unit Rate
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| Major Deliverable: Renewal Year 2: Type III Assignment - Temporary Claims Processing Services and Special Projects
*Adjuster with one to three years of experience |
| Deliverable Price: $56.00 |
| Non Price Justification: |
| Performance Metrics: Accurate and timely services and reporting |
| Financial Consequences: $100-$250 per assignment/adjuster for non-compliance with contract requirements. |
| Source Documentation Page Reference: Renewal 1 page 8 |
| Deliverable Number: |
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Medical office services
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Type VII Assignments - Guarantee availability of at least five temporary catatrophe adjusters upon D...
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Fixed Fee / Unit Rate
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| Major Deliverable: Type VII Assignments - Guarantee availability of at least five temporary catatrophe adjusters upon Department request for a one time annual fee of $3000.00.
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| Deliverable Price: $3,000.00 |
| Non Price Justification: |
| Performance Metrics: Guaranteed availability of at least five temporary catastrophe adjusters upon Department request. |
| Financial Consequences: $100-$500 per assignment/adjuster for non-compliance with contract requirements
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| Source Documentation Page Reference: p. 15 - Attachment E |
| Deliverable Number: |
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Medical office services
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Renewal Year 2: Type II Assignment – External Full Handling and Processing of a Claim @ $71 per ho...
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Fixed Fee / Unit Rate
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| Major Deliverable: Renewal Year 2: Type II Assignment – External Full Handling and Processing of a Claim @ $71 per hour
Deliverable Price: $71
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| Deliverable Price: $71.00 |
| Non Price Justification: |
| Performance Metrics: Completed hour of External Full Handling services. |
| Financial Consequences: : $100-$500 per assignment for non-compliance with contract requirements.
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| Source Documentation Page Reference: 22-23 |
| Deliverable Number: |
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