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R2006-137 AUTHORIZING AGREEMENT
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R2006-137 AUTHORIZING AGREEMENT
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11/2/2015 2:33:14 PM
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11/2/2015 2:33:13 PM
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Resolution/Ordinance
Res Ord Num
R2006-137
Res Ord Title
AUTHORIZING AGREEMENT HEALTH PLAN CONSULTANT REVIEW - THE SEGAL COMPANY
Approved Date
9/5/2006
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� The Honorable Paul Osborne <br /> ' City of Decatur <br /> August 30, 2006 <br /> Page 10 <br /> FEES <br /> Our "not-to-exceed" fees for total hourly costs and travel expenses are listed for several sample <br /> options. Each includes 15 zero pay claims and a thorough administrative review. Additional <br /> options will be provided upon request. <br /> Confidence Number of Number Number <br /> LeveUPrecision/Expected Claims of of Onsite Ma�mum Fee <br /> Error Rate Auditors Da s <br /> 90%; ±5%; 3% 90 1 4 $28,050 <br /> 95%; ±5%; 3°Io 120 1 5 $29,725 <br /> 93%; ±3%; 3°Io 165 2 4 $35,350 <br /> * These fees include a written report to the City. In-person presentation by Audit staff would incur <br /> an additional *$2,500 cost. <br /> These fees also cover all project-related tasks with an optional in-person report presentation. <br /> However, it does not include amounts (if any) which may be assessed by Consociate Dansig to <br /> provide data and assistance required by this project. Fees are guaranteed for 60 days from the date <br /> of this proposal and are based on the assumption that: <br /> ❑ Claims data is provided in the tape format requested and all documents, <br /> amendments, and the procedures questionnaire are returned two weeks prior to <br /> the onsite portion of the audit. <br /> U Each auditor has terminal access for system inquiry; claims to be pulled prior to <br /> our onsite arrival. <br /> U Accumulators, limitations and maximums are system tracked automatically <br /> (accuracy tested). <br /> �l Consociate Dansig representatives are available daily so all matters are resolved <br /> during the onsite audit and exit interview, if requested, immediately follows <br /> completion of the onsite audit. <br /> _I Any dispute to the stratified methodology can be resolved in an initial response <br /> to Consociate Dansig's written objections. Our sampling process is described in <br /> our data request to Consociate Dansig, but we have experienced a few audits <br /> where the methodology was challenged following unfavorable results. Should <br /> this occur, additional time fees would not be expensed without consent of the <br /> City. <br /> SEGAL RESOURCES <br /> We have assembled a team with the experience and diversity to meet the City's needs. While the vast <br /> majority of the work will be accomplished out of our Chicago office, we can draw upon our National <br /> expert staff if needed. The team we propose for the engagements described in this correspondence are as <br /> follows: <br />
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