ClaimOps / Commercial terms
Section 04Flat per-seat billing, monthly in arrears
USD 1,300 per productive seat per calendar month. No per-claim, per-chart or per-transaction component in either direction.
| Term | Basis |
|---|---|
| Rate | USD 1,300 per productive seat per calendar month. Flat. There is no per-claim, per-chart or per-transaction component in either direction. |
| Seat band | Minimum 15 seats. Maximum 60 seats without a fresh capacity review. Wave plan agreed at contracting. |
| Billing basis | 22 standard working days per month. Part months and mid-month additions are pro-rated on seat-days. |
| Vacant seats | A seat vacated by attrition is billed for up to 3 business days while backfill is arranged. Beyond 5 business days it is not billed until refilled. |
| Performance benchmark | The full rate applies at a composite quality index of 95 or above. Between 90 and 94.9 the full rate still applies but a written remediation plan is mandatory. Below 90 for two consecutive months, a 5% service credit applies and allocation is reviewed. This is a benchmark, not a guarantee of any collection outcome. |
| Invoicing | Service provider invoices Akontec by the 3rd working day of the following month, with the seat register and production summary attached. |
| Payment terms | To be completed at contracting — days from receipt of a correct invoice. |
| Currency and remittance | Invoiced in USD, remitted in INR at the reference rate published on the invoice date. Bank charges are borne by the party incurring them. |
| Taxes | Rates are exclusive of GST and of any withholding. Each party bears its own statutory obligations. |
| Term and notice | Initial term 12 months, auto-renewing. 60 days' written notice on staffed seats, per the Akontec standard for staffed BPO engagements. |
| Acceptance of deliverables | Monthly production and quality reporting is deemed accepted 7 working days after submission if not disputed in writing. |
| Exclusivity | The service provider will not take a directly competing US RCM engagement onto the same physical bay or with the same named team during the term. |
| Change of control | Written notice within 10 business days of any change in ownership, control or registered address. Akontec may review placement, but will not terminate solely on that ground. |
| Insurance | Professional indemnity and cyber liability cover appropriate to the seat count, maintained throughout the term, evidenced annually. |
A month in which wave two lands mid-cycle
Everything is calculated on seat-days against a 22-day month.
| Line | Seats | Seat-days | Amount (USD) |
|---|---|---|---|
| Wave one, deployed and full month | 10 | 220 | 13,000 |
| Wave two, deployed on working day 12 | 8 | 88 | 4,727 |
| Seat vacated on working day 9, billed 3 days | 1 | 3 | 177 |
| Seat vacated on working day 9, days 4–22 not billed | — | 0 | 0 |
| Invoice for the month | 18 net | 311 | 17,904 |
Coverage and the billing calendar
| Item | Basis |
|---|---|
| Standard month | 22 working days. Indian public holidays observed at the delivery site are working days for billing where the seat was staffed. |
| United States holidays | Payer portals and the client office are closed. Queues are worked to the extent possible; no reduction in billing. |
| Client system downtime | Up to 8 hours per month is absorbed within the rate. Beyond that, seat-days are credited on evidence from the client system log. |
| Overtime and weekend cover | Not billable unless agreed in writing in advance, at the same per-seat-day basis. |
| Cut-off | The seat register closes on the last working day of the month. Late additions carry to the next invoice. |
Already inside the rate
Listing these removes the most common source of invoice friction in the first quarter.
| Item | Why it sits with the service provider |
|---|---|
| Training, induction and certification time | Ramp is priced into the rate; a seat bills from deployment to live work, not from the day the agent reaches standard. |
| Team leaders, quality analysts, trainers, MIS and managers | The management overlay is a condition of the engagement, not a chargeable resource. |
| Infrastructure, licences, connectivity and security controls | The floor is yours; the standard it must meet is set out in the data protection section. |
What the invoice pack must contain
An invoice arriving without these attachments is not a correct invoice and the payment clock does not start. This is the single most common cause of delayed payment on new partner accounts, and it is entirely avoidable.
| Attachment | Prepared by | Content |
|---|---|---|
| Seat register | Provider billing owner | Every seat, agent name, role, deployment date, exit date, seat-days claimed |
| Production summary | Provider MIS analyst | Volume completed by queue for the month, against the productivity standard |
| Quality summary | Provider quality analyst | Composite index with each component and the audit sample sizes |
| Exception log | Provider delivery manager | Turnaround breaches with reasons and the owner of each |
| Backfill record | Provider delivery manager | Every vacancy in the month, the date it arose, the date it was filled |
Seat register format
The seat register is the document the invoice is built from. One row per seat, per month, in this order. A register in any other format is returned.
| Column | Content | Example |
|---|---|---|
| Seat number | Sequential, permanent for the term. A seat keeps its number when the occupant changes. | RCM-014 |
| Role | Exactly as listed in the seat mix | AR analyst |
| Occupant | Employee name and internal identifier | — |
| Deployed from | First date on live production, not first date of training | — |
| Vacated on | Last date on live production, blank if still occupied | — |
| Seat-days claimed | Working days occupied, plus up to 3 backfill days where applicable | 22 |
| Certification held | Credential and expiry date for coder seats; blank otherwise | CPC, exp. 2027 |
Disputes
An invoice line is disputed in writing within seven working days of receipt, with the specific seat-days identified. Undisputed lines are paid on the agreed terms regardless — a query on one seat does not hold up payment for the other twenty-four. Disputes settle between the two billing owners and escalate to the account managers after five working days.
Next step
You are paid whether or not the client has paid Akontec.
The client credit risk sits with us, not with you. You invoice Akontec against the seat register, on the agreed terms.
See the provider economics Apply to deliver