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LINE ITEM NUMBER
|
COMMODITY TYPE
|
STATE TERM CONTRACT ID
|
AGENCY SOLICITATION NUMBER
|
Quantity |
Unit Price |
Total Unit Price |
|
|
1
|
Business and corporate management consultation services
|
80101500-25-STC
|
|
2400000.0000
|
$0.1400
|
$336,000.00
|
| Work to be performed in accordance with DOH SOW26-074 6.1.6. Provide EDI Claims Management services for claims submitted using the Departments Early Steps Data System. 6.1.6.1. Support electronic cla... |
| Line Item Description: Work to be performed in accordance with DOH SOW26-074 6.1.6. Provide EDI Claims Management services for claims submitted using the Departments Early Steps Data System. 6.1.6.1. Support electronic claim submissions. |
| Method of Procurement: State term contract with Request For Quote requirement [s. 287.012 (24), s. 287.012 (28), s. 287.042(2), and s. 287.056, F.S.] & [Rule 60A-1.043, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64651000000 - |
| Object Code and Description: 131300 - |
| Account Code: 64-20-2-261010-64300100-00-103629-00 |
| Split Amount: $336,000.00 |
|
|
|
2
|
Business and corporate management consultation services
|
80101500-25-STC
|
|
3000000.0000
|
$0.1000
|
$300,000.00
|
| Work to be performed in accordance with DOH26-074 6.1.5. Provide monthly API services connecting Eligibility Verification data with the Departments Early Steps Data System. |
| Line Item Description: Work to be performed in accordance with DOH26-074 6.1.5. Provide monthly API services connecting Eligibility Verification data with the Departments Early Steps Data System. |
| Method of Procurement: State term contract with Request For Quote requirement [s. 287.012 (24), s. 287.012 (28), s. 287.042(2), and s. 287.056, F.S.] & [Rule 60A-1.043, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64651000000 - |
| Object Code and Description: 131300 - |
| Account Code: 64-20-2-261010-64300100-00-103629-00 |
| Split Amount: $300,000.00 |
|
|
|
3
|
Business and corporate management consultation services
|
80101500-25-STC
|
|
2400000.0000
|
$0.0800
|
$192,000.00
|
| Work to be performed in accordance with DOH26-074 6.1.6. Provide EDI Claims Management services for claims submitted using the Departments Early Steps Data System. 6.1.6.3. Provide Electronic Remittan... |
| Line Item Description: Work to be performed in accordance with DOH26-074 6.1.6. Provide EDI Claims Management services for claims submitted using the Departments Early Steps Data System. 6.1.6.3. Provide Electronic Remittance Advice (ERA) for all payers. |
| Method of Procurement: State term contract with Request For Quote requirement [s. 287.012 (24), s. 287.012 (28), s. 287.042(2), and s. 287.056, F.S.] & [Rule 60A-1.043, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64651000000 - |
| Object Code and Description: 131300 - |
| Account Code: 64-20-2-261010-64300100-00-103629-00 |
| Split Amount: $192,000.00 |
|
|
|
4
|
Business and corporate management consultation services
|
80101500-25-STC
|
|
2400000.0000
|
$0.0700
|
$168,000.00
|
| Work to be performed in accordance with DOH26-074 6.1.6. Provide EDI Claims Management services for claims submitted using the Departments Early Steps Data System. 6.1.6.2. Provide claims validation, ... |
| Line Item Description: Work to be performed in accordance with DOH26-074 6.1.6. Provide EDI Claims Management services for claims submitted using the Departments Early Steps Data System. 6.1.6.2. Provide claims validation, tracking, and reconciliation. |
| Method of Procurement: State term contract with Request For Quote requirement [s. 287.012 (24), s. 287.012 (28), s. 287.042(2), and s. 287.056, F.S.] & [Rule 60A-1.043, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64651000000 - |
| Object Code and Description: 131300 - |
| Account Code: 64-20-2-261010-64300100-00-103629-00 |
| Split Amount: $168,000.00 |
|
|
|
5
|
Business and corporate management consultation services
|
80101500-25-STC
|
|
12.0000
|
$13,945.0000
|
$167,340.00
|
| Work to be performed in accordance with DOH26-074 - Implementation Fee 6.1.1. Provide management consulting for the Eligibility API and EDI Claims Management tasks described in this Scope of Work as ... |
| Line Item Description: Work to be performed in accordance with DOH26-074 - Implementation Fee 6.1.1. Provide management consulting for the Eligibility API and EDI Claims Management tasks described in this Scope of Work as directed by the Department. 6.1.2. Provide a Designated Contact within three business days of purchase order (PO) issuance. The Designated Contact must be a full-time employee of the Contractor's staff. 6.1.2.1. Notify the Departments Contract Manager within two business days in the event the Designated Contact position becomes vacant. 6.1.2.2. The Designated Contact position must be available to meet Department staff by telephone or electronic means as required by the Department to discuss issues related to the completion of work described in this PO. 6.1.2.3. The Designated Contact shall be responsible for coordinating activities and communication among vendor teams to ensure consistency and alignment with Department requirements 6.1.3. Provide the Department access to a secure and dedicated testing environment within five business days from the PO issuance . 6.1.4. Manage the complete lifecycle of provider credentialing and enrollment through a comprehensive clearinghouse payor source enrollment service that maintains, updates, and terminates electronic data interchange (EDI) connections between enrolled providers and applicable payors. This service includes but is not limited to: 6.1.4.1. Coordinating enrollment with all applicable payors and clearinghouses. 6.1.4.2. Monitoring and tracking the enrollment status for each payor specific EDI enrollment. 6.1.4.3. Facilitating all EDI X12 applicable enrollments for each payor source for transactions such as 837p, 270/271, CSI, and 835. 6.1.4.4. Obtaining all payor specific documents that require provider signatures and authorizations and providing to the Department for processing. 6.1.4.5. Submitting enrollment documentation to payors and/or clearinghouses with approval from the Department. 6.1.4.6. Provide we |
| Method of Procurement: State term contract with Request For Quote requirement [s. 287.012 (24), s. 287.012 (28), s. 287.042(2), and s. 287.056, F.S.] & [Rule 60A-1.043, F.A.C.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64651000000 - |
| Object Code and Description: 131300 - |
| Account Code: 64-20-2-261010-64300100-00-103629-00 |
| Split Amount: $167,340.00 |
|