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AI- 32239
Purchasing Department   20.A.6.
CC REGULAR
Meeting Date:
05/22/2012
Department Head:
Martha Salazar
Submitted By:
Vangie Garcia, PURCHASING DEPT.
Department:
PURCHASING DEPT.

Information

CAPTION

Acceptance and approval of reimbursement request(s) by Montalvo Insurance (awarded vendor for the Property and Casualty Insurance including Third Party Administrative Services) on quarterly basis for TPA Services rendered by TriStar Risk Management more specifically the  CMS Mandatory Insurer Reporting (MIR) directives as per Section III of the Medicare, Medicaid and SCHIP Extension Act of 2007", a one time per claim fee in the amount of $7.85 for an estimated 30+ claims per quarter.

BACKGROUND


Fiscal Impact

FISCAL YEAR:
2012
ACCT. #:
2-1100-419-00-125-009-0-350
FUNDS AVAILABLE Y/N?:
Y
MATCHING FUNDS Y/N?:

BUDGETARY IMPACT:

Available balance as of 5-17-12 $3,000.00

Attachments

Form Review

Inbox Reviewed By Date
Purchasing / Internal msalazar 05/16/2012 04:13 PM
Budget and Management mmunoz 05/17/2012 08:02 AM
Auditor's Office Monica Salinas 05/18/2012 04:54 PM
Form Started By:
vgarcia
Started On:
05/04/2012 03:42 PM
Final Approval Date:
05/18/2012