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2016-116-E Tax - ZirMed Inc. - elec. submission of patient claims, other ancillary EDI services, in-house ambulance billing & collection
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2016-116-E Tax - ZirMed Inc. - elec. submission of patient claims, other ancillary EDI services, in-house ambulance billing & collection
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Last modified
12/18/2018 9:22:11 AM
Creation date
1/19/2016 11:36:16 AM
Metadata
Fields
Template:
Contract
Date
12/23/2015
Contract Starting Date
1/1/2016
Contract Ending Date
12/31/2017
Contract Document Type
Contract
Amount
$9,400.00
Document Relationships
2016-200-E Tax - ZirMed Inc. for additional service for existing contract 2016-116-E
(Linked From)
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\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2016
R 2016-116-E Tax - ZirMed Inc. - electronic submission of patient claims and ancillary EDI services for in-house ambulance billing - collections
(Linked To)
Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2016
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DocuSign Envelope ID:90B9D659-59OB-40CA-85C6-4FA2FEE9lF35 <br /> IIIIIIr 1611, <br /> 11ViViViViulllil <br /> NE E) <br /> 21. Survival. The representation,warranties,covenants, and agreements of any of the parties hereto contained in <br /> Sections 1, 2, 5-8, 10, 12-21 of this Agreement will survive the expiration or earlier termination of this Agreement. <br /> Expiration or termination of this Agreement for any reason will not terminate Customer's obligation to pay ZirMed <br /> for all Services performed prior to the date of such expiration or termination. <br /> 22. Executive Authority and Domain Administrator. The"Executive Authority"identified below is an authorized <br /> individual empowered to make decisions on behalf of Customer and having the legal authority to legally bind <br /> Customer. The Executive Authority may issue a directive to ZirMed to designate, modify or change the Domain <br /> Administrator. The"Domain Administrator"as identified below, will have full administrative privileges for <br /> Customer's account or family of accounts(Domain)to add and delete users and will manage access rights, <br /> privileges and permissions for each user for the domain.As such, the Domain Administrator will be assigned a <br /> login and password to access the ZirMed website for the designated domain to permit this individual to perform <br /> these functions. <br /> Name: Dwane Brinson, Director <br /> Office Ad'd'ress: 228 S. Churton Street, H.C. Box 8181 <br /> City: Hillsborough State: NC Zip:27278 <br /> Phone: (919)245-2726 Fax: 919-644-3091 Cell: <br /> Email: dbrinson@orangecountync.gov <br /> Name: Hank Derby, System Analyst <br /> Office Ad'd'ress: 228 S. Churton Street, H.C. Box 8181 <br /> City: Hillsborough State: NC Zip:27278 <br /> Phone: (919)245-2111 Fax: 919-644-3091 Cell: <br /> Email:wderby@orangecountync.gov <br /> 23. Counterparts. This Agreement may be executed in counterparts and delivered by facsimile or other electronic <br /> means, each of which will be deemed an original but all together will constitute only one agreement. This <br /> Agreement may also be executed electronically as authorized by Articles 11 A and 40 of Chapter 66 of the North <br /> Carolina General Statutes. <br /> The information contained in this document is intended for the recipient and is considered confidential information. III RIVED <br /> 11 <br />
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