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ATTACHMENT " A " <br /> ONE YEAR GUARANTEED RATE <br /> WORKERS ' COMPENSATION <br /> Medical Only and Lost Time Claims Administration <br /> MO - $ 140. 00 LT - $575. 00 <br /> All pricing is for life of contract only. <br /> Above pricing is on a per claim basis . <br /> All services are invoiced on a monthly basis. <br /> All subrogation is handled at no additional charge. <br /> Medical Bill fee scheduling is performed for $ 1 . 30 per line <br /> Excess reporting , monthly loss reports , quarterly large loss reports , check processing , <br /> check register reports and BSIA 7's are provided for a monthly administration fee of <br /> $ 1 , 250. 00. 1099's are processed for a fee of $5 . 00 per form . <br /> Field adjusters for workers' compensation claims are available on an as needed basis <br /> for $250. 00 per assignment. This fee is inclusive of mileage and photographs . <br /> Remote computer access is available to the employer. PGCS currently utilizes <br /> Progressive Data Solution ( PDS ) software . Remote access requires purchase of a <br /> yearly license and a monthly user access fee. <br /> PGCS receives no monetary rebates, commissions and / or other incentives form <br /> the use, recommendation or assignment of any outside service including but not <br /> limited to; managed care, surveillance, attomey's, transportation company' s, <br /> rehabilitation and medical facilities. <br />