Medical Fee Schedule Website FY 24

Header Information Purchase Order Number: 24-563WCC-WCC56-P-53635 Release Number: 0 Short Description: Medical Fee Schedule Website FY 24 Status: 3PS - Sent Purchaser: Cole Garrett Receipt Method: Quantity Fiscal Year: 2024 PO Type: Blanket Minor Status: Organization: WCC - Illinois Worker's Compensation Commission Department: WCC563 - Illinois Worker's Compensation Commission Location: AA001 - Illinois Worker's Compensation Commission Type Code: Small Purchase Alternate ID: 4100182432 Entered Date: 07/13/2023 02:01:14 PM Days ARO: 2 Retainage %: 0.00% Discount %: 0.00% Release Type: Direct Release Contact Instructions: Contact Cole D. Garrett at (312)814-6620 / Cole.Garrett@illinois.gov Tax Rate: Actual Cost: $32,000.00 Print Format: Is this a Small Business Set Aside Procurement?: No Date Contract Executed: 07/27/2023 Master Contract?: No Original/ Old Contract/PO Number: Incoterm Key: Incoterm Location (City): Release Begin Date: Release End Date: Is there a BEP/VBP Participation Goal? : No Agency Attachments: Standard Terms and Conditions v23 1 Standard Certifications v23 1 RFQ - Medical Fee Schedule Website FY 24.pdf June 23, 2023 Questions and Answers - Amendment 20230725 BOA--OptumProcuraMgmt - Website - Fully_Executed~1.pdf Vendor Attachments: Primary Vendor Information & PO TermsVendor: V00030933 - Procura Management, Inc. Monica Rice 175 Kelsey Lane Tampa, FL 33619 US Email: monica.rice@optum.com Phone: (763)340-8045 Payment Terms: NA Shipping Method: Shipping Terms: Freight Terms: PO Acknowledgements: DocumentNotificationsAcknowledged Date/Time Purchase Order Emailed to monica.rice@optum.com at 08/10/2023 09:47:13