| 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 |
| START | |