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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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Deliverable #107: Contract Year 11 Operations - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24-Report...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #107: Contract Year 11 Operations - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24-Reports
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| Deliverable Price: $5,257.76 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies |
| Source Documentation Page Reference: 4A-6 Payment Schedule |
| Deliverable Number: |
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Medical office services
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Deliverable #113: Contract Year 11 Legacy - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24-Case Manag...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #113: Contract Year 11 Legacy - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24-Case Management Fee Reduction (5TCMS) |
| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies
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| Source Documentation Page Reference: 4A-6 Payment Schedule |
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Medical office services
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Deliverable #112: Contract Year 11 Legacy - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24-Documentat...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #112: Contract Year 11 Legacy - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24-Documentation/Data Exchange & IT
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| Deliverable Price: $1,345.08 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies |
| Source Documentation Page Reference: 4A-6 Payment Schedule |
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Medical office services
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Deliverable #111: Contract Year 11 Legacy - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24-Reports
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #111: Contract Year 11 Legacy - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24-Reports |
| Deliverable Price: $448.27 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies
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| Source Documentation Page Reference: 4A-6 Payment Schedule |
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Medical office services
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Deliverable #110: Contract Year 11 Legacy - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24-Performanc...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #110: Contract Year 11 Legacy - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24-Performance Monitoring/Audits |
| Deliverable Price: $896.81 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies
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| Source Documentation Page Reference: 4A-6 Payment Schedule |
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Medical office services
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Deliverable #109: Contract Year 11 Legacy - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24 Case Manag...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #109: Contract Year 11 Legacy - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24 Case Management |
| Deliverable Price: $147,804.96 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies |
| Source Documentation Page Reference: 4A-6 Payment Schedule |
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Medical office services
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Deliverable #105: Contract Year 11 Operations - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24-Case M...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #105: Contract Year 11 Operations - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24-Case Management
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| Deliverable Price: $552,843.60 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies |
| Source Documentation Page Reference: 4A-6 Payment Schedule |
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Medical office services
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Deliverable #108: Contract Year 11 Operations - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24-Docume...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #108: Contract Year 11 Operations - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24-Documentation/Data Exchange
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| Deliverable Price: $26,276.40 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies
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| Source Documentation Page Reference: 4A-6 Payment Schedule |
| Deliverable Number: |
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Medical office services
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Deliverable #106: Contract Year 11 Operations - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24-Perfor...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #106: Contract Year 11 Operations - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24-Performance Monitoring/Audits
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| Deliverable Price: $24,073.88 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies |
| Source Documentation Page Reference: 4A-6 Payment Schedule |
| Deliverable Number: |
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Medical office services
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Deliverable #104: Contract Year 11 Operations - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24- Intak...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #104: Contract Year 11 Operations - Renewal 3/Amendment 6 - 04/01/23 - 03/31/24- Intake of FROI / Initial Care.
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| Deliverable Price: $195,760.31 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies |
| Source Documentation Page Reference: 4A-6 Payment Schedule |
| Deliverable Number: |
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Medical office services
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Deliverable #103: Contract Year 10 Renewal 2/Amendment 5 (04/01/22-03/31/23) Legacy-Case Management...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #103: Contract Year 10 Renewal 2/Amendment 5 (04/01/22-03/31/23) Legacy-Case Management Fee Reduction ($30,000) (6TCMS)
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| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: $100 for each instance where imaging files are not submitted in accordance with the Contract. |
| Source Documentation Page Reference: R2A5 |
| Deliverable Number: |
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Medical office services
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Deliverable #102: Contract Year 10 Legacy- Renewal 2/Amendment 4 (04/01/22-03/31/23) Documentation/...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #102: Contract Year 10 Legacy- Renewal 2/Amendment 4 (04/01/22-03/31/23) Documentation/Data Exchange & IT (Monthly Fee).
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| Deliverable Price: $1,318.71 |
| Non Price Justification: |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies
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| Source Documentation Page Reference: R2A5 |
| Deliverable Number: |
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Medical office services
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Deliverable #101: Contract Year 10 Legacy- Renewal 2/Amendment 5 (04/01/22-03/31/23) Reports.
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #101: Contract Year 10 Legacy- Renewal 2/Amendment 5 (04/01/22-03/31/23) Reports.
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| Deliverable Price: $439.48 |
| Non Price Justification: |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies
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| Source Documentation Page Reference: R2A5 |
| Deliverable Number: |
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Medical office services
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Deliverable #100. Contract Year 10 Legacy- Renewal 2/Amendment 5 (04/01/22-03/31/23) Performance Mon...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #100. Contract Year 10 Legacy- Renewal 2/Amendment 5 (04/01/22-03/31/23) Performance Monitoring/Audits (Monthly Fee)
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| Deliverable Price: $879.23 |
| Non Price Justification: |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies
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| Source Documentation Page Reference: R2A5 |
| Deliverable Number: |
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Medical office services
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Deliverable #99. Contract Year 10 Legacy - Renewal 2/Amendment 5. (04/01/22 - 03/31/23) Case Manage...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #99. Contract Year 10 Legacy - Renewal 2/Amendment 5. (04/01/22 - 03/31/23) Case Management.
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| Deliverable Price: $144,906.83 |
| Non Price Justification: |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies
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| Source Documentation Page Reference: R2A5 |
| Deliverable Number: |
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Medical office services
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Deliverable #98: Contract Year 10 Operations- Renewal 2/Amendment 5 (04/01/22-03/31/23) Documentati...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #98: Contract Year 10 Operations- Renewal 2/Amendment 5 (04/01/22-03/31/23) Documentation/Data Exchange & IT (Monthly Fee).
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| Deliverable Price: $25,761.18 |
| Non Price Justification: |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies
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| Source Documentation Page Reference: R2A5 |
| Deliverable Number: |
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Medical office services
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Deliverable #97: Contract Year 10 Operations - Renewal 2/Amendment 5 (04/01/22-003/31/23) Reports (...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #97: Contract Year 10 Operations - Renewal 2/Amendment 5 (04/01/22-003/31/23) Reports (Monthly Fee).
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| Deliverable Price: $5,154.67 |
| Non Price Justification: |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies
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| Source Documentation Page Reference: R2A5 |
| Deliverable Number: |
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Medical office services
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Deliverable #96: Contract Year 10 Operations -Renewal 2/Amendment 5 (04/01/22-03/31/23 Performance ...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #96: Contract Year 10 Operations -Renewal 2/Amendment 5 (04/01/22-03/31/23 Performance Monitoring/Audits (Monthly Fee).
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| Deliverable Price: $23,601.84 |
| Non Price Justification: |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies
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| Source Documentation Page Reference: R2A5 |
| Deliverable Number: |
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Medical office services
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Deliverable #95: Contract Year 10 Operations- Renewal 2/Amendment 5(04/01/22-03/31/23) Case Manageme...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #95: Contract Year 10 Operations- Renewal 2/Amendment 5(04/01/22-03/31/23) Case Management (Monthly Fee).
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| Deliverable Price: $542,003.53 |
| Non Price Justification: |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies
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| Source Documentation Page Reference: R2A5 |
| Deliverable Number: |
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Medical office services
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Deliverable #94: Contract Year 10 Operations -Renewal 2/Amendment 5 - 04/01/22 - 03/31/23 Intake of...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #94: Contract Year 10 Operations -Renewal 2/Amendment 5 - 04/01/22 - 03/31/23 Intake of FROI / Initial Care (Monthly Fee).
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| Deliverable Price: $191,921.88 |
| Non Price Justification: |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies
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| Source Documentation Page Reference: R2A5 |
| Deliverable Number: |
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Medical office services
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Deliverable #93: Contract Year 9 - Renewal 1/Amendment 4 Legacy Case Management Fee Reduction ($30...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #93: Contract Year 9 - Renewal 1/Amendment 4 Legacy Case Management Fee Reduction ($30,000) (6TCMS)
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| Deliverable Price: $0.00 |
| Non Price Justification: Price cannot be determined until the work has been completed |
| Performance Metrics: Timely and accurate service delivery |
| Financial Consequences: $100 for each instance where imaging files are not submitted in accordance with the Contract. |
| Source Documentation Page Reference: R1A4 |
| Deliverable Number: |
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Medical office services
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Deliverable #92: Contract Year 9 Legacy- Renewal 1/Amendment 4 (04/01/21-03/31/22) Documentation/Da...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #92: Contract Year 9 Legacy- Renewal 1/Amendment 4 (04/01/21-03/31/22) Documentation/Data Exchange & IT monthly fee
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| Deliverable Price: $1,292.85 |
| Non Price Justification: |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: $100 for each instance where imaging files are not submitted in accordance with the Contract
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| Source Documentation Page Reference: R1A4 |
| Deliverable Number: |
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Medical office services
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Deliverable #91: Contract Year 9 Legacy- Renewal 1/Amendment 4 (04/01/21-03/31/22) Reports
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #91: Contract Year 9 Legacy- Renewal 1/Amendment 4 (04/01/21-03/31/22) Reports
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| Deliverable Price: $430.86 |
| Non Price Justification: |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: $50 for each day reports are not provided in accordance with the Contract
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| Source Documentation Page Reference: R1A4 |
| Deliverable Number: |
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Medical office services
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Deliverable #90: Contract Year 9 Legacy- Renewal 1/Amendment 4 (04/01/21-03/31/22) Performance Moni...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #90: Contract Year 9 Legacy- Renewal 1/Amendment 4 (04/01/21-03/31/22) Performance Monitoring/Audits (Monthly Fee)
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| Deliverable Price: $861.99 |
| Non Price Justification: |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies
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| Source Documentation Page Reference: R1A4 |
| Deliverable Number: |
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Medical office services
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Deliverable #89: Contract Year 9 Legacy- Renewal 1/Amendment 4 (04/01/21-03/31/22) Case Management ...
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Fixed Price - Lump Sum
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| Major Deliverable: Deliverable #89: Contract Year 9 Legacy- Renewal 1/Amendment 4 (04/01/21-03/31/22) Case Management
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| Deliverable Price: $142,065.52 |
| Non Price Justification: |
| Performance Metrics: Timely and accurate service delivery
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| Financial Consequences: Varies |
| Source Documentation Page Reference: R1A4 |
| Deliverable Number: |
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