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Vera Whole Health 6/7/2019
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Vera Whole Health 6/7/2019
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Last modified
4/1/2025 4:45:28 PM
Creation date
6/18/2019 10:32:32 AM
Metadata
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Template:
Contracts
Contractor's Name
Vera Whole Health
Approval Date
6/7/2019
Council Approval Date
6/5/2019
Department
Human Resources
Department Project Manager
Marcy Hammer
Subject / Project Title
Near Site Clinic Services
Tracking Number
0001823
Total Compensation
$238,450.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
Document Relationships
Vera Clinic 12/20/2023 Amendment 4
(Contract)
Path:
\Records\City Clerk\Contracts\6 Years Then Destroy\2024
Vera Whole Health 12/1/2022 Amendment 3
(Contract)
Path:
\Documents\City Clerk\Contracts\Agreement\Professional Services (PSA)
Vera Whole Health 3/24/2025 Amendment 5
(Contract)
Path:
\Documents\City Clerk\Contracts\Agreement\Professional Services (PSA)
Vera Whole Health 5/13/2022 Amendment 2
(Contract)
Path:
\Documents\City Clerk\Contracts\Agreement\Professional Services (PSA)
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24 Gender Gender of the member <br /> See Table 2 for values <br /> 25 Email Address Email address of member <br /> 26 Anchor Employee Last Last name of the employee <br /> Name <br /> 27 Anchor Employee First First name of the employee <br /> Name <br /> 28 Anchor Employee SSN Social Security Number of the employee <br /> Example: 123-45-6789 <br /> 29 Anchor Employee Insurance Insurance ID of the employee <br /> ID Example: KL 23456 <br /> 30 Anchor Employee ID Employee ID of the employee <br /> Example: 5678 <br /> 31 Relationship Relationship of member to the employee <br /> See Table 3 for values <br /> 32 Patient Status Member status <br /> See Table 4 for values <br /> 33 Patient Status Change Reason for the current status change <br /> Reason See Table 5 for values <br /> 34 Vera Service Eligibility Clinic access eligibility <br /> See Table 6 for values <br /> Exhibit 1, Page 4 <br />
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