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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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Entry Properties
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)
Path:
\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:90B9D659-590B-40CA-85C6-4FA2FEE9lF35 <br /> Z` <br /> I I I I I`1 11ulululul iq 1,111 <br /> '9616 NE EY' <br /> ZirMed ri r Agreement <br /> This Subscriber Agreement("Agreement')is made and entered into between ZirMed, Inc.,a Delaware corporation, <br /> with its principal place of business at 888 West Market Street, Louisville, Kentucky 40202("ZirMed"), and Orange <br /> County, a political subdivision of the State of North Carolina ("Customer"). This Agreement governs the access and <br /> use of the products and services("Services")made available to Customer through the ZirMed website. <br /> Section I-Customer Address and Contact Information <br /> Customer Name: Orange County Bill-To Name: Orange County Tax Administration <br /> Implementation Contact: Felicia Williams Billing Contact: Nancy Freeman <br /> Address: 228 S. Churton Street, P.O. Box 8181 Address:228 S. Churton Street, P.O. Box 8181 <br /> City: Hillsborough State: NC Zip:27278 City: Hillsborough State: NC Zip: 27278 <br /> Phone: (919)245-2728 Fax: 919-644-3091 Phone: (919)245-2735 Fax: 919-644-3091 <br /> e-mail: fwilliams@orangecountync.gov e-mail: nfreeman@orangecountync.gov <br /> The information contained in this document is intended for the recipient and is considered confidential information. III RIVED. <br /> 1 <br />
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