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AI- 61936
Purchasing Department   17.A.1.
CC - REGULAR
Hidalgo County
Meeting Date:
10/10/2017
Submitted For:
Lauro Torres
Submitted By:
Monica Salinas, EXECUTIVE OFFICE
Department:
SAFETY DIVISION

Information

CAPTION

Requesting approval of rate increase from $7.85 to $8.05 per claim for Third Party Administrative (TPA) Services of property and casualty claims rendered by TriStar Risk Management.

BACKGROUND

previous approval - AI 32239
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.

Fiscal Impact

CALENDAR YEAR:
2017
ACCT. #:
7-1100-419-00-125-009-0-350
FUNDS AVAILABLE Y/N?:
Y
MATCHING FUNDS Y/N?:

BUDGETARY IMPACT:

PO #760323 for Montalvo Insurance Agency, Inc., funds available as of 10-6-17.

Attachments

Form Review

Inbox Reviewed By Date
Purchasing / Internal msalazar 10/05/2017 05:46 PM
Budget and Management Veronica Ortiz 10/06/2017 07:57 AM
Final Approval Monica Salinas 10/06/2017 09:22 AM
Dina Trevino msalazar 10/06/2017 10:04 AM
Form Started By:
Monica Salinas
Started On:
10/03/2017 04:53 PM
Final Approval Date:
10/06/2017