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RatageniaHealth Sales Agreement <br /> ORDER FORM <br /> Term: This Agreement will run for an initial term of three years from the Service Effective Date.All fees including monthly subscription <br /> fees and training will increase by 5%at the beginning of first and second annual anniversary date.After three years,price will increase by <br /> US CPI at the beginning of each anniversary date.All payments made are non-refundable.Vendor may adjust billing for actual user count <br /> at the beginning of each anniversary date. <br /> Cancellation: This agreement is for an initial minimum term of three years. After initial three year term,the agreement will automatically <br /> renew for the next year. Client may cancel the agreement with a three month written notice prior to the expiration of the current term. <br /> Marketing: Client provides permission for use of client name in company's marketing material. <br /> Topic Description I Rate Units Total Price <br /> Pricing includes software of federally certified Electronic Medical Record, j <br /> $�...;764...,.... <br /> Practice Management and Billing software.EMR is PCMH ready.Price is <br /> inclusive of all modules. <br /> Price is inclusive of all clearinghouse charges for connectivity to numerous <br /> commercial and government payers including Medicaid,Medicare,BOBS, <br /> United,Cigna and others. <br /> Price includes monthly fees of(optional)one Electronic Fax(@$40/month)at <br /> ..1-site. <br /> Pricing is for the county staff currently comprising of..AO.'—users including <br /> MDs,NP,Nurses,billing,clinical management and other staff. <br /> Additional users may be added at any time for an additional fee of <br /> $19.40/month. <br /> Includes support of UNC Lab interface <br /> Krum <br /> Includes set u configuration of software for the customer and uploading of <br /> P p g <br /> anent demo hic information xis or csv file provided by the client <br /> Installation of..3.,. (optional)Electronic Fax @$500/each: 0 <br /> Additional customization services as per client request.Interface to UNC Lab. <br /> Start-up Training:Onsite training to occur within first 90 days of installation. ..6... s l tded NA Included <br /> All training after normal business 9 am to 5 pro EST hours at$60/hr. <br /> Annual Training:Additional on line training available within first year of 6 Hours included NA Included <br /> install. All training after normal business hours at$60/hr. <br /> Video Training:Unlimited,on demand,video training. Included NA Included <br /> Optional additional training:$120/hr or On site at$1000/day including travel $120/hr. <br /> costs and time.(All training during normal business hours:9am to 5 pm EST. On site:$1000/day <br /> After business hours training at 1.5 times rates indicated.) Incl.travel cost/time <br /> Incentive Assurance Service:Training and support for Meaningful Use $1000/eligible <br /> incentive application registration and attestation.Payable each year at the provider/yr. „„.,.;d,„.,,», <br /> beginning of contract anniversary. <br /> Discount for first year of the Incentive Assurance Service. $1000/eligible Reduced <br /> provider/yr. <br /> 1. Monthly On-going subscription fees,payable each month after contract date: $,....3,76+1,,., <br /> 2.Initial Start Up Payment payable upon contract signing:Includes initial Set up/Training($ <br /> ...24,$W- StA,901/}S..,b 10 ...-w �.k..,.»)+Incentive Assurance Service <br /> ($, .....)and first month of monthly subscription fees <br /> month= <br /> ►NOTES: e bt a er-N-0y I <br />