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EXHIBIT B <br /> SERVICE FEE SCHEDULE <br /> This Service Fee Schedule is an attachment to the TECHNOLOGY-ENABLED CARE COORDINATION <br /> SUBSCRIPTION AGREEMENT("Agreement")dated ,20_and is effective on the date of <br /> execution by and between NC HIE and Participant and any capitalized terms which appear herein shall have the same <br /> meaning as given in the Agreement unless otherwise noted. <br /> P ani1k{"tla'�t#O <br /> Participant Contact(Contracting Entity): NC HIE Representative: <br /> Whiffed Human Services Center Jayson Caracciolo <br /> 300 W. Tryon St. jcaraccioloe-n3cn.org <br /> Hillsborough, NC 27278 <br /> Kerry Kribbs <br /> kkribbs(a-n3cn.orq <br /> Participating Entity: Effective Date: <mm/dd/yy> <br /> Whitted Human Services Center <br /> 300 W. Tryon St. <br /> Hillsborough, NC 27278 ALL PRICING IN UNITED STATES DOLLARS <br /> 919-245-2400 <br /> PO Number(if applicable): < #> <br /> NC HIE—Bundled Services—Annual Subscription Fees <br /> E E <br /> S °�y EECE{xE EE E E .E: <br /> �i Sii t f F 5 E F <br /> E€ E€, QQSCni3rt <br /> Full Participant Package—would include $175.00 1 $175.00 <br /> the following services <br /> • CORE Services <br /> • Direct Secure Messaging <br /> • State Connectivity Services <br /> including NCIR and ELR, if <br /> applicable <br /> • Training for initial on-boarding for <br /> Opt-out and HIE portal <br /> 10 <br />