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• For the second year, September 1, 2019 through August 31, 2020, of this Agreement, the City shall
<br />pay the Administrator $43,389 per month for Claims Administration Services rendered under this
<br />Agreement.
<br />• For the third year, September 1, 2020 through August 31, 2021, of this Agreement, the City shall
<br />pay the Administrator $44,690 per month for Claims Administration Services rendered under this
<br />Agreement.
<br />• For the optional fourth year, September 1, 2021 through August 31, 2022, of this Agreement, the
<br />City shall pay the Administrator $46,031 per month for Claims Administration Services rendered
<br />under this Agreement.
<br />• For the optional fifth year, September 1, 2022 through August 31, 2023, of this Agreement, the
<br />City shall pay the Administrator $47,412 per month for Claims Administration Services rendered
<br />under this Agreement.
<br />• For the optional sixth year, September 1, 2023 through August 31, 2024, of this Agreement, the
<br />City shall pay the Administrator $48,834 per month for Claims Administration Services rendered
<br />under this Agreement.
<br />• For the optional seventh year, September 1, 2024 through August 31, 2025, of this Agreement, the
<br />City shall pay the Administrator $50,300 per month for Claims Administration Services rendered
<br />under this Agreement.
<br />The City shall allow the Administrator to perform all Bill Review Services through McdReview. Bill
<br />review fees are at $9.00 per bill. Preferred Provider Organization fees shall not exceed 25°% of savings
<br />when applicable,
<br />The City shall allow the Administrator to perform all Utilization Review Services through MedReview.
<br />Utilization review fees are incorporated into medical bill review invoices at the rate of 7% of billed
<br />charges. The maximum utilization review fee charged per medical bill is capped at $750,00, Utilization
<br />review by a physician is billed separately in 10»minute increments, at the rate of $200.00 per hour,
<br />The City shall allow the Administrator to manage liens and negotiated bills. Liens and/or negotiated bills
<br />are 10% of savings with $5,000 cap.
<br />13. ALLOCArED EXPENSES: The City shall pay for field investigation, defense attorneys, legal costs,
<br />remote photocopy, engineering experts, accident reconstruction experts, process servers, messenger
<br />service, court reporters, vocational rehabilitation consultants, structured settlement consultants,
<br />translators, and any other vendor necessary to administer claim files. Payment of expenses in excess of
<br />$150,000 require prior approval of the City before those expenses are paid.
<br />14. PENALTIES: The Administrator shall be responsible for paying or appealing penalties that are caused
<br />by the Administrator. The Administrator shall not be responsible for penalties that are caused by the City
<br />or any third parties. The Administrator will advise City in writing immediately of any penalties that are
<br />levied against the City for any reason and prior to paying such penalties.
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