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Advocacy 24/7 - Per Call <br />$95.37 <br />Telehealth Services <br />Fee Schedule or U&C value by CPT code <br />Allocated Expense Fees <br />Le' al Services <br />Description <br />Pricing <br />Subrogation <br />25% of Recoveries <br />Legal Bill Auditing 1 <br />2.5% of gross legal charges <br />reviewed <br />Indexing and OFAC Compliance - Per Index <br />$16.47 <br />' Fees will never exceed the savings generated <br />Bill Review Services <br />Description <br />Pricing <br />Bill Review: Includes Standard Fee Schedule and UCR - Per Bill 1,2 <br />+ Network Solutions Includes: 2 <br />Clinical Review, Implant Analysis, Line Item Bill Review, <br />Negotiations, PPO Network Access, <br />Substantive Denials, Technical Evaluation <br />$9.88 <br />27% of Savings <br />Minimum Transaction Fee 2 <br />State EDI, Scanning/OCR, Initial 1099 Provider Notification Letter <br />$7.28 <br />Included <br />'Includes bill intake, document imaging, file upload, state EDI's, and initial 1099 provider notification letters. <br />2 Minimum transaction fee (MTF) per bill transaction. Applied per transaction if all other applicable fees do not meet <br />the minimum transaction fee. Applies to all transactions, including but not limited to, Specialty Bills, Duplicate Bills <br />and bills sent for Re -consideration or Re-evaluation. There is a maximum bill review transaction fee of $15,000. <br />Patient Management <br />Description <br />Telephonic Case Management, Field Case Management <br />and Return to Work Coordinator - Per Hour',2 <br />Pricing <br />$127.40 <br />Vocational Rehabilitation - Per Hour 2 <br />$181.22 <br />Specialty Services (Catastrophic, Life Care Plan, Medicare <br />Conditional Payments, Medicare Set Asides, Bilingual) - Per Hour <br />$239.43 <br />Nurse Utilization Review - Per Review <br />$157.06 <br />Physician Utilization Review - Per Review <br />$275.00 <br />Care Advocate - Per Claim <br />$52.40 <br />PeerWell App Access - Per Claim (One -Time Fee) <br />$500 <br />'Fee applies to all States with the exception of premium states (CA, HI, AK, and NY). <br />2 Statutory rates supersede if applicable. <br />Prevailing IRS Mileage Rate applies. <br />Each invoice for Case Management Services shall have an additional professional service fee of $39. <br />Customer. <br />00 billed to <br />Pharmacy Solutions <br />Description <br />Pricing <br />Retail Pharmacies <br />Brand <br />Generic <br />Mail Order <br />Brand <br />Generic <br />Clinical Modeling <br />City of Everett, WA — CorVel EC Amendment 3 7-25-2022 <br />AWP -11%+$4 <br />AWP -50% + $4 <br />.25 dispensing fee <br />.25 dispensing fee <br />AWP -12% + $3 <br />AWP -50% + $3 <br />.50 dispensing fee <br />.50 dispensing fee <br />