(3)AR 020309 Tristar - Laserfiche WebLink

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EXHIBIT "C" COMPENSATION FISCAL YEAR Annual Fee (inclusive of all costs including travel, setup, etc.) FY 06-07 $56,746 (with Option A below) FY 07-08 $58,732 (with Option A below) FY 08-09 $60,788 (with Option A below) FY 09-10 $62,916 (with Option A below) Option A: With Bill Review services provided by TRISTAR Managed Care charged at 14% of the savings. COST CONTAINMENT a. Bill Review Services See Option A above b. Disability Management See item g below. c. Vocational Rehabilitation Included in claims administration fee. Rehabilitation Counselor and other outside services fees are passed through as allocated expenses to the claim file. d. Independent Adjusting At cost e. Loss Control Services 10 hours free per fiscal year; Additional hours charged at $95.00 per hour, plus expenses. f. Legal Services At cost g. Medical Case Management $95.00 per hour (field and telephonic) h. Subrogation Only Services Included in claims administration fee i. Surveillance Services At cost '. Special Investigative Units Included in claims administration fee k. Structured Settlements Included in claims administration fee 1. Utilization Review $95.00 per hour (inpatient and outpatient) — includes review to treatment protocol, negotiating treatment, directing into PPO, preparing file for Peer Review, sending all parties documentation and noting file. m. Development of programs such as light duty of safety and health training Included in claims administration fee OTHER FEES IMFS (Inpatient Medical Fee Schedule 12% of savings PPO Networks Access 25% of incremental savings Courier Service No Charge WCAB Hearing Representative No Charge Duplicates No Charge 1" Level Peer Review $200 flat rate 2n Level Peer Review $250 flat rate Medical Provider Network No additional cost when coupled with Bill Review