My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2012-184
CBCC
>
Official Documents
>
2010's
>
2012
>
2012-184
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/6/2016 10:28:28 AM
Creation date
10/1/2015 4:42:51 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Addendum
Approved Date
10/09/2012
Control Number
2012-184
Agenda Item Number
8.N.
Entity Name
Johns Eastern Company Inc.
Subject
Addendum No. II to Service Contract
Multiple Lines Claim Handling
Supplemental fields
SmeadsoftID
11499
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
3
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
f. Fees for any field investigation will be $ 105 .00, $0. 55 a mile and $ 1 . 00 per photograph, and administrative <br /> expenses. We will bill at these rates all activities involving, handling, controlling, or settling a client's liability <br /> on claim , <br /> g. Fees for over-night or special mail service for various documents, <br /> h . Fees for examining and reducing hospital and medical bills as appropriate <br /> i . Photocopying and/or CD- ROM copies, review of relevant documentation . <br /> j . Pre-Certification of Hospital Admissions, On-Site Case Management, Peer Review, Medical Care Audits, and <br /> Hospital Bill Audits . <br /> k. Medical Management — Telephonic case management would be provided on all cases at a rate of: <br /> • $525 .00 per lost time exposure <br /> • $ 125 .00 per medical only exposure <br /> I . Provider Bill Review/Cost Containment Services — Fees for these services are : <br /> • $5 .95 per bill <br /> • 30% of all savings over and above Fee Schedule reductions <br /> • 35% out-of-network and hospital audits <br /> m . Medicare Set-Aside ( MSA) services to include; recommendation for MSA submission, MSA cost projection, <br /> MSA submission, liability MSA services, comprehensive drug utilization review, lien search, conditional lien <br /> dispute, projection update. <br /> 5 . Compensation for the Service Agent: For performing its services under this Agreement, the Service Agent shall be entitled to <br /> the following compensation : <br /> a . Fees for handling the CLIENT'S workers' compensation exposures whose dates of loss fall between <br /> October 1, 2012 and September 30, 2013 will be a minimum and deposit of $ 64,844.00. <br /> This fee contemplates handling 150 workers' compensation exposures . If the number of exposures <br /> exceeds 150, then the fees will be increased proportionately. All years subject to audit. <br /> b . Fees for handling the CLIENT'S non-workers' compensation exposures whose dates of loss fall <br /> between October 1, 2012 and September 30, 2013 will be a minimum and deposit of $ 13,400 .00. <br /> This fee contemplates handling 22 non-workers' compensation exposures . If the number of exposures <br /> exceeds 22, then the fees will be increased proportionately. All years subject to audit . <br /> c. Fees for handling the CLIENT'S workers' compensation exposures whose dates of loss fall between <br /> October 1, 2013 and September 30, 2014 will be a minimum and deposit of $ 67,438 .00. <br /> This fee contemplates handling 150 workers' compensation exposures . If the number of exposures <br /> exceeds 150, then the fees will be increased proportionately. All years subject to audit. <br /> d . Fees for handling the CLIENT'S non-workers' compensation exposures whose dates of loss fall <br /> between October 1, 2013 and September 30, 2014 will be a minimum and deposit of $ 13,936 .00. <br /> This fee contemplates handling 22 non-workers' compensation exposures . If the number of exposures <br /> exceeds 22, then the fees will be increased proportionately. All years subject to audit. <br />
The URL can be used to link to this page
Your browser does not support the video tag.