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<br /> <br /> <br />City of Everett, WA – CorVel EC Amendment 4 (Renewal and Pricing) to Agreement 05-07-25 <br />letters. <br />² Minimum transaction fee (MTF) per bill transaction. Applied per transaction if all other applicable fees <br />do not meet the minimum transaction fee. Applies to all transactions, including but not limited to, Specialty <br />Bills, Duplicate Bills and bills sent for Re-consideration or Re-evaluation. There is a maximum bill review <br />transaction fee of $15,000. <br />Patient Management <br />Description Pricing <br />Telephonic Case Management, <br />Field Case Management <br />and Return to Work Coordinator - <br />Per Hour <br /> <br />Alaska, California, Hawaii and <br />New York $172 $177 $182 <br />All Other States ¹˒² $140 $144 $148 <br />Vocational Rehabilitation - Per <br />Hour $199 $205 $212 <br />Specialty Services (Catastrophic, <br />Life Care Plan, Medicare <br />Conditional Payments, Medicare <br />Set Asides, Bilingual, Critical <br />Incident Stress Debriefing (CISD)) <br />- Per Hour <br />$263 $271 $280 <br />Nurse Utilization Review - Per <br />Review $173 $178 $183 <br />Physician Utilization Review - Per <br />Review $289 $297 $306 <br />UR Authorization Only (Adjuster <br />Review) - CA - Per Review $42 $43 $45 <br />Care Advocate - Per Claim $58 $59 $61 <br />¹ Fee applies to all States with the exception of premium states (CA, HI, AK, and NY). <br />¹Statutory 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 $40.95 <br />billed to Customer. <br />Pharmacy Solutions <br />Description Pricing <br />Retail Pharmacies <br />Brand <br />AWP -10% + <br />$3.00 dispensing <br />fee <br />AWP -10% + <br />$3.00 dispensing <br />fee <br />AWP -10% + <br />$3.00 dispensing <br />fee <br />Generic <br />AWP -35% + <br />$3.00 dispensing <br />fee <br />AWP -35% + <br />$3.00 dispensing <br />fee <br />AWP -35% + <br />$3.00 dispensing <br />fee <br />Mail Order <br />Brand <br />AWP -13% + <br />$1.50 dispensing <br />fee <br />AWP -13% + <br />$1.50 dispensing <br />fee <br />AWP -13% + <br />$1.50 dispensing <br />fee <br />Generic <br />AWP -45% + <br />$1.50 dispensing <br />fee <br />AWP -45% + <br />$1.50 dispensing <br />fee <br />AWP -45% + <br />$1.50 dispensing <br />fee <br />