HomeMy WebLinkAboutAgreements/Contracts - RenewK21-048
Claim Status Pricing Addendum
Version: 20210311
This is the Claim Status Pricing Addendum ("Addendum") to the Customer Agreement or equivalent between Etactics ("Company")
and customer identified in the Signature Block ("Customer"),
1. Taxes and Setup Fees: Prices do not include sales tax. Company will include sales tax as applicable unless Customer timely
supplies Company with a valid sales tax exemption form. All applicable setup fees will be invoiced on the first business day of the
month following execution of this Addendum.
2. Services: Company utilizes its expertise and EDI (Electronic Data Interchange) technology to accept these transactions as
provided by the Customer, reformat the transaction, and forward the Customer's data to the proper payer in predefined payer
formats. In most cases, the Customer will receive credentials to access the Software as a Service customer area where these
transactions may be monitored and managed. Company commits to using commercially reasonable efforts to display the data it
receives in response to a Claim Status request. Company does not warrant the quality or consistent availability of the data
whatsoever provided by the third party.
2.1. Claim Status: ANSI 276/277 transactions used to inquire about the status of a claim after it has been sent.
2.1.1. Par Transactions: Transactions that are free or nearly free for the Company to execute and are priced
accordingly.
2.1.2. Non -Par Transaction: Transactions that require a meaningful payment to a third party to facilitate the
transaction. These costs may be passed onto the Customer at Company's discretion.
Service Pricing
1. Claim Status Services Fees:
1.1. Monthly Subscription Per Tax ID $ Waived
1.2. Monthly Subscription (Only available if currently invoiced per provider for Claims) Per Provider $ Waived
1.3. Par Transaction Per Transaction $ 0.10
1.4. Non -Par Transaction Per Transaction $ 0.10
2. Setup Fees
2.1. Claim Status Setup Fee [First/Additional Tax ID] At $ Waived / $ Waived
Claim Status Pricing Addendum Primary Customer Contact
Name: Sue Sherwood
Email: ssherwood@grantcountywa.gov
Phone: 509-764-2694
Title: Billing Manager
Claim Status Pricing Addendum Signature Block
Customer: Grant Integrated Services
Federal Tax-IDi: 916001319
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Name.
SignatgreN,
Title:Cind Carter Chair
Date:
Sales Contact: Ray Dalessandro
Offer Expires After: 04/30/21
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Page 1 of 1 of the Claim Status Product Pricing Addendum
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This Customer Agreement., together with the"Agreement"), is between EtacticsInc,
("Etactics")anomecua�me identified below [
o��uetomerl,wNoh iseffective csofthe most recent ' signature date below (the "Effective
Date"), Etactics and Customer (each individually a "Party" and together the "Parties") agree to the following terms and conditions:
1. ServicesBacticm agrees |operform the services | the attached addendum(s) (collectively, "Services" and individually, "Service")
and Customer agrees to pay the contracted amount for each. Service as stated in the addendum(s), Unless specifically stated
otherwise, the addendum(s) and other contracts follow the terms of this Agreement, Customer agrees to pay setup fees and
postage deposits prior to Etactics being obligated to process Customer data,
2, Contract Term: The term of this- Agreement ('tTerm") will begin on the Effective Date and will remain in effect for operiod ofone
year from the first invoiced date, except that this Agreement will automatically renew for successive one-year renewalterms unless
either Party gives written notice of termination atleast sixty days prior to expiration of the initial or any renewal term.
3. Termination: Either Party may terminate this Agreement if the otharParty breacheso��������Agreement and ��|s
hoCure �obreach ��|n3Odays after n��ecfb�aoh�o theParty, tho3O~d period, thenon-breaching
Pafty may suspend any effected Service until the breach 'is cured without assuming liability. Etactics may terminate this Agreement
for convenience by providing sixty -day's written notice to Customer. If Customer fails to use Services over any consecutive ninety -
day period during the Term, then, Etactics may deem the Agreement terminated voluntarily by Customer,
4. Effect ofTermination: Upon termination of this
addendum is terminated b ut one or more addendum(s) remain in effect, this Agreement will remain in effect as to each such
addendum(s). If this Agreement is terminated by Customer without cause, or by Etactics because of Customerys payment default
or other material breach of this Agreement, Customer must pay Etactics all amounts owed at termination plus a charge of the
remaining access fees through the end of the Term.
5. Survival: The terms ofSections 4,5'7.Q,11-15.and 18-23Will continue ineffect following any termination ofthis Agreement
orterminated Addendum.
6. Price Increases: In the event of a postage rate increase, Etactics, will immediately pass through this change to the Customer.
Customer will benotified |nwriting sdleast thirty days before any non -postage related price increase,
7. Payment Terms: Customer agrees topay all invoices within twenty days ofthe invoice date, Any late payment will accrue late
payment fees up to 1.5% per month or $25 per invoice at Bactioe' dimcmetion. Etac ico may elect to suspend Services to Customer
und||atepayment is received, or to terminate this Agreement for cause, Customer agrees to pay all reasonable collection costs
incurred for Customer's failure tomake payments when due.
8, Service Level Agreement: EtaC |C8 guarantees 89.5% application availability outside {fscheduled maintenance, and will provide
a prorated refund of the current month's access fee for the application as a percentage of time that the application was not
avaUob|e. Bact|oe processes n*a|-t|me, batch' and mail M|ea in the order reoe|vad. For files received by noon (EST), the goal is to
deliver electronic transactions the same business day with mailed documents pombn�rkedthe following business d/y. Customer is
tonotify Etact|csoffile layout changes, which may cause delay inprocessing,
8. Liability: Customer will not hold Ebaotioe liable for issues stemming from inaccurate data that Customer or its contractors supply to
Etactics. In no event will Etactics be liable for any indirect, special, incidental, exemplary, punitive or consequential damages
(including, but not limited to, lost profits. lost business opportunities, lost or damaged data, orother similar damages) arising out of
or in any way related to this Agreement orthe Services, whether in contract. tort (including negligence) or otherwise,' even if
Etactics has been advised of the possibility of such damages, and whether such damages are incurred by Customer or any third
party, Having supremacy over other Sections, Etactics' aggregate liability to Customer under this Agreement will not exceed, under
any circumstances, the amount paid by Customer for the effected Service under this Agreement during the one (1) year preceding
the date on which the cause of action giving rise to the liability arose,
10. Warranties: Etactics will use its good faith, commercially reasonable efforts to perform the Services in a timely, professional and
workmanlike manner, In the event that a documented and reproducible inconsistency |n the Services is discovered, EtaoUcs' sole
responsibility will be to use commercially reasonable efforts to correct such inconsistency in a Ume'(y manner. BeoUos will
implement all commercially reasonable efforts to correct any problems with data transmission, processing and/or corruption or
delay of data, and/or reporting of results back to Customer,
11. No Other Warranties: Except as expressly stated in 800Uon 8 and 10. to the extent permitted by applicable |aw. Bact|os makes
no warranties whatsoever, express or 'Implied, in connection with the Services or any work product provided in connection with this
Agreement. Without limiting the generality ofthe foregoing, E(eot|ca does not warrant (i) results, (ii) that any Services or work
product will be free from annrs, defects, or bugs, (iii) that the Services or any work product will integrate with Customer's systems,
or (iv) the accuracy ofinformational content. Baobcs does not guarantee the receipt, aoknow|edgement, processing, or payment