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2023-610-E-Sheriff Office-Prime Health Services-containment services of off-site health care services for inmates
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2023-610-E-Sheriff Office-Prime Health Services-containment services of off-site health care services for inmates
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Last modified
10/25/2023 8:23:49 AM
Creation date
10/25/2023 8:23:41 AM
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Contract
Date
10/13/2023
Contract Starting Date
10/13/2023
Contract Ending Date
10/20/2023
Contract Document Type
Contract
Amount
$39,534.82
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Prime Health Services, Inc. <br /> County Master Services Agreement <br /> <br />6 | P a g e <br />Copyright © 2014 – Prime Health Services, Inc. <br />County Corrections MSA - v1.0 - created 12/1/13; updated 12/6/17 <br /> <br />Orange County Sheriffs Office Prime Health Services, Inc. <br />106 E. Margaret Lane 331 Mallory Station Road <br />Hillsborough, North Carolina Franklin, TN 37067 <br />27278 <br /> <br />By: _________________________________ By: __________________________________ <br /> <br />Title: _______________________________ Title: _________________________________ <br /> <br />Date: _______________________________ Date: ________________________________ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Exhibit 1.0 <br /> <br />PHS FEES AND INVOICING <br /> <br /> <br /> <br />PHS Service Fee: <br /> <br />SHERIFF agrees to pay PHS an administration and plan fee equal to 19% of total Savings. <br />Savings is defined as the difference between the providers Billed Charges and the final allowed <br />amount that the provider has agreed to accept based on the services provided by PHS. <br /> <br /> <br /> <br />Invoicing/Payment: <br /> <br />PHS will reprice a provider claim, generate an EOB Summary, and send the final EOB Summary, <br />which will include PHS’s service fee, to SHERIFF. SHERIFF agrees to send both the provider <br />payment and the PHS service fee to the address listed on the EOB Summary within 14 days of its <br />receipt of the EOB Summary. <br /> <br />DocuSign Envelope ID: CC7A4A66-ACFF-408E-A299-938E0666EA49 <br />Sheriff of Orange County <br />10/13/2023 10/20/2023 <br />President/CEO
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