General Services Administration

GENERAL SERVICES ADMINISTRATION FEDERAL SUPPLY SERVICE AUTHORIZED FEDERAL SUPPLY SCHEDULE PRICE LIST

PROFESSIONAL SERVICES SCHEDULE

INDUSTRIAL GROUP: 00CORP

Special Item Number 520-9 Recovery Audits

Cotiviti, LLC 50 Danbury Road Wilton, CT 06897

Point of Contact: Kevin Clark E-mail: [email protected] Website Address: www.cotiviti.com Telephone: (203) 529-2000 ♦ Facsimile: (203) 529-2999

CONTRACT NUMBER: GS-23F-0029N Business Size: Large Business

Effective Date: April 15, 2016

PERIOD COVERED BY CONTRACT: October 16, 2012 through October 15, 2017

Prices herein are net deducted

On-line access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an electronic delivery order are available through GSA Advantage! ™, a menu-driven database system. The INTERNET address for GSA Advantage! ™ is: http://www.gsaadvantage.gov. For more information on ordering from Federal Supply Schedules, visit http://www.gsa.gov./portal/content/197989 CONTRACTOR: Cotiviti, LLC 50 Danbury Road Wilton, CT 06897 Contract Number: GS23F0029N Schedule Title: Professional Services Schedule Product Service Code: R704 DUNS#: 067592733 Contract Period: October 16, 2012 – October 15, 2017 Business Size: Other than Small Business Contract Administrator: Regina Slockett Phone Number: 203-642-0727 Fax Number: 203-529-2999 Web Site: http://www.cotiviti.com ______Awarded service information listed by Special Item Numbers (SINS): SIN 520-9 Recovery Audits Miscellaneous Services: Recovery Audit Recovery Audit Services: Unit of Issue: Percentage Per Transaction Overtime Rate: -0- 10/16/2016-10/15/2017: 24.75% Note: An Economic Price Adjustment was applied to Recovery Audit on 9/28/2012. Terms and Conditions: 1. Table of awarded special item number(s) with appropriate cross reference to item descriptions and awarded price(s): SIN: 520-9RC DESCRIPTION: Recovery Audits 2. Maximum order per SIN: SIN: 520-9 Maximum Order: $1,000,000.00 3. Minimum Order: $100 4. Geographic Coverage: 50 St, DC, Terri 5. Point(s) of production (city, county, and State or foreign county). N/A 6. Quantity discounts: None 7. Prompt Payment Terms: 0%-0 0%-0 Net 30 8. Government purchase cards accepted above the micro-purchase threshold: YES 9. Government Purchase Cards are accepted at or below the micro-purchase threshold: YES 10. Foreign Items: None 11. Time of Delivery: 0 Days from date of award to date of completion (services only) 12. Expedited Delivery: N/A 13. Overnight and 2 day delivery: N/A 14. Urgent Requirements: Please contact Contractor’s representative to affect a faster delivery. 15. F.O.B. Points: Alaska : D – Destination Continental US : D – Destination Hawaii : D – Destination Puerto Rico : D - Destination 16. Ordering Address: 1. Cotiviti, LLC Kevin Clark 50 Danbury Road Wilton, CT 06897 USA Ph: 203-529-2107 Fax: 203-529-2999 [email protected]

17. Ordering Procedures: For supplies and services, the ordering procedures, information on Blanket Purchase Agreements (BPA’s), and a sample BPA can be found at the GSA/FSS Schedule homepage (fss.gsa.gov/schedules). 18. Payment Address: 1. Cotiviti, LLC Rob Panagrossi 50 Danbury Road Wilton, CT 06897 USA Ph: 203-642-6423 Fax: 203-529-2999 [email protected]

19. Warranty Provision: N/A 20. Terms and conditions of Government purchase card acceptance (any thresholds above micro-purchase levels: N/A 21. Terms and conditions of repair parts: N/A 22. Terms and conditions for any other services: N/A 23. Terms and conditions of rental, maintenance, and repair: N/A 24. Terms and conditions of installation: N/A 25. List of service and distribution points: N/A 26. List of participating dealers: N/A 27. Preventative maintenance: N/A 28. Special attributes such as environmental attributes: N/A 29. Section 508 compliance information: N/A 30. Data Universal Number System (DUNS) number: 067592733