| 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 | ||