ClaimOps

ClaimOps  /  Commercial terms

Section 04

Flat 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.

TermBasis
RateUSD 1,300 per productive seat per calendar month. Flat. There is no per-claim, per-chart or per-transaction component in either direction.
Seat bandMinimum 15 seats. Maximum 60 seats without a fresh capacity review. Wave plan agreed at contracting.
Billing basis22 standard working days per month. Part months and mid-month additions are pro-rated on seat-days.
Vacant seatsA 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 benchmarkThe 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.
InvoicingService provider invoices Akontec by the 3rd working day of the following month, with the seat register and production summary attached.
Payment termsTo be completed at contracting — days from receipt of a correct invoice.
Currency and remittanceInvoiced in USD, remitted in INR at the reference rate published on the invoice date. Bank charges are borne by the party incurring them.
TaxesRates are exclusive of GST and of any withholding. Each party bears its own statutory obligations.
Term and noticeInitial term 12 months, auto-renewing. 60 days' written notice on staffed seats, per the Akontec standard for staffed BPO engagements.
Acceptance of deliverablesMonthly production and quality reporting is deemed accepted 7 working days after submission if not disputed in writing.
ExclusivityThe 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 controlWritten 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.
InsuranceProfessional indemnity and cyber liability cover appropriate to the seat count, maintained throughout the term, evidenced annually.
Why per seat and not per claim. Per-claim pricing transfers payer behaviour risk onto the party least able to control it. Denials rise when a payer changes a policy, not when your coder gets slower. A flat seat rate gives you a predictable invoice and gives the client a predictable cost, and it keeps the conversation about quality rather than about counting.
Worked example

A month in which wave two lands mid-cycle

Everything is calculated on seat-days against a 22-day month.

LineSeatsSeat-daysAmount (USD)
Wave one, deployed and full month1022013,000
Wave two, deployed on working day 128884,727
Seat vacated on working day 9, billed 3 days13177
Seat vacated on working day 9, days 4–22 not billed00
Invoice for the month18 net31117,904

Coverage and the billing calendar

ItemBasis
Standard month22 working days. Indian public holidays observed at the delivery site are working days for billing where the seat was staffed.
United States holidaysPayer portals and the client office are closed. Queues are worked to the extent possible; no reduction in billing.
Client system downtimeUp 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 coverNot billable unless agreed in writing in advance, at the same per-seat-day basis.
Cut-offThe seat register closes on the last working day of the month. Late additions carry to the next invoice.
Never billable

Already inside the rate

Listing these removes the most common source of invoice friction in the first quarter.

ItemWhy it sits with the service provider
Training, induction and certification timeRamp 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 managersThe management overlay is a condition of the engagement, not a chargeable resource.
Infrastructure, licences, connectivity and security controlsThe floor is yours; the standard it must meet is set out in the data protection section.
Invoicing

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.

AttachmentPrepared byContent
Seat registerProvider billing ownerEvery seat, agent name, role, deployment date, exit date, seat-days claimed
Production summaryProvider MIS analystVolume completed by queue for the month, against the productivity standard
Quality summaryProvider quality analystComposite index with each component and the audit sample sizes
Exception logProvider delivery managerTurnaround breaches with reasons and the owner of each
Backfill recordProvider delivery managerEvery 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.

ColumnContentExample
Seat numberSequential, permanent for the term. A seat keeps its number when the occupant changes.RCM-014
RoleExactly as listed in the seat mixAR analyst
OccupantEmployee name and internal identifier
Deployed fromFirst date on live production, not first date of training
Vacated onLast date on live production, blank if still occupied
Seat-days claimedWorking days occupied, plus up to 3 backfill days where applicable22
Certification heldCredential and expiry date for coder seats; blank otherwiseCPC, exp. 2027
A note on the first invoice. Most first invoices on a new partner account are returned, almost always for the same two reasons: the seat register counts training days as seat-days, or the occupant column is left blank. Send a draft register to your Akontec billing owner in week three of wave one and have it confirmed before the month closes.

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