MR1: The site-specific discount percentage was increased to 50 percent based on the documentation submitted during the appeal process.
Service Start Date (471):
7/1/2011
Service Start Date (486):
7/1/2011
Current Commitment:
$349.26
Payment Mode:
NOT SET
Disbursed Amount:*
$0.00
Undisbursed:
$349.26
Last Date of Service:
Last Date to Invoice:
1/28/2013
Original Request
Original Commitment
Total Monthly Cost:
$58.21
$58.21
Total Ineligible Monthly Cost
$0.00
$0.00
Months of Service:
12
12
Annual Recurring Charges:
$698.52
$698.52
Estimated One Time Cost:
$0.00
$0.00
Total One Time Ineligible Cost:
$0.00
$0.00
Total One Time Cost:
$0.00
$0.00
Estimated Monthly Cost:
$58.21
$58.21
Estimated Annual Cost:
$698.52
$698.52
Discount Percent:
60 %
50 %
Requested Amount:
$419.11
$349.26
* It is possible that an authorization for an amount was
approved, but no disbursement has yet been made for that amount. If you have
questions about an amount, please contact the service provider on that FRN.
