BID NO. 07-020F
CLEARINGHOUSE SERVICES ANNUAL AWARD
DECEMBER 22, 2006
GATEWAY EDI, INC.
ST. LOUIS, MO
ITEM 1. STARTUP FEE
TOTAL $200.00
ITEM 2. ENROLLMENT FEE
TOTAL 0
ITEM 3. COST PER  ELECTRONIC VERIFICATION TRANSACTION
*MAY BE FREE IF CHARGED
TOTAL $0.19-$0.24
ITEM 4. COST PER  ELECTRONIC CLAIM TO:
A.MEDICARE *
B. MEDICAID *
C. HUMANA *
D. AETNA *
E. SIGNA *
F. BLUE CROSS/BLUE SHIELD *
G. UNITED HEALTHCARE *
*MONTHLY MINIMUM OF
$990.00 UP TO 3,000 CLAIMS
PER MONTH.
OVER 3,000 TO BE BILLED
AT $0.33 PER CLAIM.
ITEM 5. COST TO PRINT AND MAIL A PAPER CLAIM
TOTAL $0.54
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