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AI- 9470   3. J.    
Commissioners Court - Special Meeting
Meeting Date: 05/10/2018  
Approve the execution of an amendment for processing of claim run-outs with Christus Spohn Health Network.
Submitted By: Elsa Saenz, Purchasing Department
Department: Purchasing Department  

Information
RECOMMENDATION
Approve the execution of an amendment for processing of claim run-outs with Christus Spohn Health Network.
BACKGROUND
The amendment has been proposed by CSHN to extend their repricing services through the end of September, 2018. CSHN agreed to re-price medical health claims through March. There are medical claims outstanding, which will require re-pricing until the end of September, 2018. There has not been an interruption of CSHN repricing medical claims. While not expecting many more outstanding claims, do expect some “unknown” amount of claims. The County is responsible for any claims incurred and submitted by any vendors prior to the 1st of October. The original agreement should have been through end of September, 2018, because (1) CSHN is the only entity able to re-price under their vendor contracts, (2) the county’s plan is responsible for the adjudication of these claims, (3) the cost is very reasonable & only incurred on a per claim basis .
DISCUSSION
The run-out fees per claim of $2.50 is to be paid from Department 0103. Form 1295 Certificate No. 2018-345310 was provided.

Budget Information
Information about available funds
Budgeted: Funds Available: Adjustment: Amount Available:
Unbudgeted: Funds NOT Available: Amendment:
Account Code(s) for Available Funds
1:
Fund Transfers

Attachments
Amendment

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