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2020-154 Resolution
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2020-154 Resolution
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1/6/2021 3:51:13 PM
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1/6/2021 1:49:07 PM
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North Olmsted Legislation
Legislation Number
2020-154
Legislation Date
1/5/2021
Year
2021
Legislation Title
Sedgwick Contract
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that Client does not forward to Sedgwick all such claims, Sedgwick may in its <br />discretion adjust the per claim fees accordingly. <br />2. Miscellaneous Charges <br />Client shall pay the following fees for services provided during the period beginning on January 1, <br />2021 and ending on December 31, 2023: <br />A. Ohio hearing representation in lieu of attorney fees including preparation, travel, <br />expenses, attendance, and system notations will be allocated to the claim files at <br />S 175 per hearing per claim. <br />B. Client shall pay for storage of claim files which were closed at the time that <br />Sedgwick obtained the Program. Sedgwick's liability for such files shall be subject <br />to the same limitations as contained in its written agreements with storage service <br />providers, if any. <br />3. Invoicin1l <br />All implementation and data conversion fees are billed upon notification of award. <br />Sedgwick shall submit its invoice for all other fees on a quarterly basis, in advance, based on an <br />annual fee estimate. Shortly after the expiration of the contract year, or upon termination, Sedgwick <br />shall compare the installment amounts paid by Client to the actual fee due. Client shall pay any <br />additional fee due, or Sedgwick shall credit Client for any overpayment, as the case may be. <br />4. Care Management Fee Schedule <br />All claim administration fees and services contemplate the deployment of Sedgwick's managed <br />care services for all bill review and case management services. Managed care fees are detailed <br />below. Fees may change from time to time upon 60 days written notice. <br />Managed Care Fees: <br />Medical Bill Review <br />Detail Unit Fee <br />Fee Per Bill Per Bill $8.50 <br />Enhanced Audit Savings % of Savings 23% <br />PPO Network & Out of Network Savings % of Savings 23% <br />Fee Schedule Savings % of Fee Schedule 0% <br />Case Management <br />C/20912 14 <br />
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