06-060F
CLEARINGHOUSE SERVICES
ANNUAL AWARD
APRIL 19,2006
LINE DRIVE CONSULTING, INC.
CLEARWATER, FL
ITEM 1. STARTUP FEE
TOTAL $12,500.00
ITEM 2. ENROLLMENT FEE
TOTAL $2,500.00
ITEM 3. COST PER TRANSACTION
TOTAL FREE
ITEM 4.COST PER ELECTRONIC CLAIM
A. MEDICARE
TOTAL $0.35
MEDICAID
TOTAL $0.35
C. HUMANA
TOTAL $0.35
D. AETNA
TOTAL $0.35
E. SIGNA
TOTAL $0.35
F. BLUE CROSS/BLUE SHIELD OF FL
TOTAL $0.35
G. UNITED HEALTHCARE
TOTAL $0.35
5. COST TO PRINT & MAIL CLAIM
TOTAL $8.00
START 30 DAYS