Vim Applications Description

Last updated: February 5, 2025

This Vim Applications Description sets forth further Application-specific terms and conditions that may apply to Vim’s provision and Covered Provider’s use of Vim Connect or the Services. Capitalized terms not defined herein shall have the meanings assigned to them in the Provider Terms of Service.

1. Diagnosis Gaps (Dx Gaps) Application allows Covered Provider to view data from the Data Source regarding potential chronic conditions of a patient. Covered Provider may, in its sole discretion, respond to the information presented on the Dx Gaps Application, and such response will be shared back to the Data Source. In supported EHRs, (i) the Dx Gaps Application may allow Covered Provider to add the chronic conditions ICD-10 codes into its EHR, or, alternatively, if the Covered Provider already coded the relevant ICD-10 codes in the encounter assessments, the Dx Gaps Application will automatically detect that, and resolve the applicable gaps; and/or (ii) where Covered Provider has enabled the CDE Application, if requested by the Data Source, following each use of the Dx Gaps Application, the updated encounter record along with the recorded use of the Dx Gaps Application will be extracted from the EHR and promptly delivered to the Data Source.
2. Care Gaps Application Application presents to Covered Provider and patients’ Gaps in Care data provided to Vim by a Data Source. Covered Provider may, under their sole discretion, respond to the information presented in the Care Gaps Application, and Vim will then share these responses back to the Data Source. In supported EHRs, (i) the Care Gaps Application may allow Covered Provider to add the relevant CPT codes to the EHR, and or/ (ii) where Covered Provider has enabled the CDE Application, if requested by the Data Source, following each use of the Care Gaps Application, the updated encounter record along with the recorded use of the Care Gaps Application will be extracted from the EHR and promptly delivered to the Data Source.
3. Care Insights Application presents to Covered Provider any patients’ gaps in care data and/or any potential chronic conditions, provided to Vim by a Data Source. Covered Provider may, in its sole discretion, respond to the information presented, and Vim will then share Covered Provider’s responses back to the Data Source. In supported EHRs, (i) the Care Insights Application may allow Covered Provider to add the relevant CPT codes and/or the chronic conditions ICD-10 codes in the EHR, or, alternatively, with respect to the ICD-10 codes, if the Covered Provider already coded the relevant ICD-10 codes in the encounter assessments, Care Insights will automatically detect that, and resolve the applicable gaps; and/or (ii) where the Covered Provider enables the CDE Application, if requested by the Data Source, following each use of the Care Insights Application, the updated encounter record along with the recorded use of the Care Insights Application, will be extracted from the EHR and promptly delivered to the Data Source.
4. Order Assist (f/k/a Referral Guidance or Referral Navigations) Application allows Covered Providers to access certain lists of Referred Providers which Data Sources recommended for referrals (“Referred Providers”). In addition, Covered Providers may request Vim to present their own physicians at the top of the search results list in the Order Assist Application. On supported EHRs, Covered Providers may use the Order Assist Application to write Data Source recommended referrals back into the EHR. The Data Source provides Vim with the Covered Providers search results logic. Vim is unaware of, nor has any control or discretion over, the factors and considerations under which these search results are generated and therefore shall not be held responsible by Covered Providers for any damages that arise from referrals made by Covered Providers through Vim the Order Assist Application.
5. Eligibility Application presents Covered Provider with patients’ insurance eligibility information, the name of their insurance company, and other information that may be relevant for the patient and Covered Provider. This data is provided by a Data Source. Vim has no discretion or influence over patients’ insurance information, including eligibility for treatment.
6. Patient Health History Application presents patients’ health history data to Covered Provider. Health history data is provided to Vim by Data Sources. “Health History” means a record, or a portion thereof, of the patient’s health, including, without limitation to, past visits with medical providers, past illnesses, chronic illnesses, allergies, prescribed medications, surgeries, injuries, mental health condition, blood tests results, administered vaccines and imaging results. Subject to Vim’s or the Data Source’s sole discretion, some types of Health History data may not be presented. Health History will not be recorded in the Covered Provider’s EHR unless incorporated by an Authorized User.
7. Pre-Authorization Application presents to Covered Provider information regarding any pre-authorizations required by the patient’s insurance company for certain medical treatments. Information entered into the Pre-Authorization Application is provided by Data Sources. Vim has no discretion or influence over the patient’s insurance information, including any information required by the Pre-Authorization Application for services. Prior authorization is not a guarantee of payment. Only the applicable Data Source can determine payment based on the submission of a claim by Covered Provider to such Data Source. Vim has no responsibility or liability regarding such Data Source’s payment processes or decisions.
8. Case Submission Application allows, for certain patients, to submit a pre-authorization case by allowing Covered Provider to access the Data Source’s submission portal directly from the Covered Provider’s EHR. The Data Source, and not Vim, has full and sole discretion to either approve or reject submitted cases.
9. Clinical Data Exchange (CDE) Application streamlines the retrieval of patients’ finalized encounter data and any attachments thereof (“Clinical Data”) from your EHR and securely transmits the Clinical Data to the designated entity requesting such Clinical Data (“Data Requestor”). Clinical Data may also include ancillary data associated with the patient, encounter identifiers file, the provider, and metadata in the form of a CSV or txt.Upon enabling the CDE Application, the following terms apply to your, and your Authorized Users’ use of the CDE Application:
1. 1. The Covered Provider or Admin may identify one or more Authorized Users, which shall be responsible for (a) accessing and reviewing Clinical Data retrieval requests sent to Covered Provider; (b) rejecting, if needed, any Clinical Data retrieval requests received through the CDE Application (“Data Exchange Admin(s)”). In addition, Covered Provider or Admin must provide a valid email address for receipt of email notifications regarding new Clinical Data retrieval requests. Covered Provider shall be solely responsible and liable to ensure the review and/or rejection of Clinical Data retrieval requests sent to Covered Provider.
  2. Upon receiving a Clinical Data retrieval request from a Data Requestor, the CDE Application will use a live EHR session of any active Authorized User to access and retrieve the requested Clinical Data from the EHR through such Authorized User’s EHR account (“Retrieved Clinical Data”). Retrieved Clinical Data will only contain Clinical Data that such Authorized User had access to in the Covered Provider’s EHR. If a Clinical Data retrieval request has not been rejected by a Data Exchange Admin, and the retrieval has been successful, Vim will securely transfer the Retrieved Clinical Data to the Data Requestor.
  3. Covered Provider hereby authorizes Vim to retrieve Clinical Data using any Authorized User’s EHR account, according to these CDE Application terms, unless a Clinical Data request has been rejected by a Data Exchange Admin.
  4. Covered Provider hereby authorizes Vim to retrieve Clinical Data using any Authorized User’s EHR account, according to these CDE Application terms, unless a Clinical Data request has been rejected by a Data Exchange Admin.
  5. Note that your EHR is expected to generate audit trails or logs documenting all instances in which the Clinical Data has been accessed, retrieved and/or transmitted under the applicable Authorized User. Covered Provider is responsible for retaining these audit logs in accordance with HIPAA’s record retention requirements.
  6. The CDE Application does not store or maintain the Retrieved Clinical Data. Vim does not assume any responsibility for the retention of any data, including audit trail/logs data. Covered Provider is solely responsible for maintaining all records of Clinical Data in accordance with HIPAA’s record retention requirements.
  7. Covered Provider represents and warrants that the Authorized Users are authorized to access and retrieve the Clinical Data on the Covered Provider’s behalf, and that Authorized Users have access only to Clinical Data of individuals who are current patients of Covered Provider or for whom Covered Provider has a legitimate medical purpose to access the information. This access must align with the applicable laws, regulations, and ethical guidelines governing patient confidentiality and data privacy. Vim shall not be held responsible by Covered Provider for any claims, fines or damages associated with unauthorized access to the requested Clinical Data by the Authorized Users. Vim further disclaims all liability for errors or omissions in the EHR audit trails or log, or any consequences arising from such errors or omissions. Covered Provider shall promptly notify Vim of any unauthorized access or other security incidents involving the CDE Application. Covered Provider shall be responsible for complying with HIPAA Breach Notification Rule requirements, including notifying affected individuals and the Department of Health and Human Services if necessary. Covered Provider agrees to indemnify and hold harmless Vim against any claims, losses or damages arising from a breach of Clinical Data, except where such breach is caused by Vim’s negligence or willful misconduct.
  8. Vim is not in the business of “assembling or evaluating [information] for the purpose of furnishing consumer reports to third parties”, as is required to qualify as a consumer reporting agency (“CRA”).
  9. Clinical Data Requestors may collect Clinical Data as subcontractors on behalf of authorized third parties such as health and life insurance companies, governmental entities, workers’ compensation insurers, and law firms with valid legal or contractual grounds to receive the Clinical Data (“Ultimate Data Recipients”).
  10. To provide the services described herein, You authorize Vim to (1) retrieve, obtain and store the Retrieved Clinical Data through the CDE Application using the EHR sessions of any Authorized Users, and (2) transmit the Retrieved Clinical Data to the Data Requestor. You may withdraw this authorization at any time by disabling the CDE Application; however, such withdrawal will not affect any actions taken in reliance on the above authorization before disabling the CDE Application.
  11. You agree to defend, indemnify, and hold harmless Vim and Vim’s affiliates, licensors, directors, officers, employees, agents and contractors against any and all third-party claims, demands, losses, costs and expenses, including reasonable attorney’s fees and litigation expenses, arising out of or relating to any action taken by Vim which has been authorized by you under Section 9.10 above.
  12. VIM SHALL NOT BE HELD LIABLE FOR ANY ERRORS, BUGS, OR SYSTEM MALFUNCTIONS THAT MAY ARISE DURING THE CLINICAL DATA RETRIEVAL PROCESS, WHICH COULD RESULT IN ALTERATIONS OR CHANGES TO THE RETRIEVED DATA, OR ANY OTHER DAMAGES THAT MAY ARISE IN CONNECTION WITH THE USE OF THE CDE APPLICATION.
  13. THE CDE APPLICATION RETRIEVES CLINICAL DATA FROM THE EHR “AS IS”. COVERED PROVIDER MUST EXERCISE DUE CARE AND JUDGMENT IN ITS USE OF THE CDE APPLICATION AND THE CLINICAL DATA. COVERED PROVIDER REPRESENTS AND WARRANTS THAT IT HAS VALID LEGAL OR STATUTORY GROUNDS TO DISCLOSE CLINICAL DATA TO THE ULTIMATE DATA RECIPIENTS AND THE DATA REQUESTORS. VIM SHALL NOT BE HELD RESPONSIBLE BY THE CLINIC FOR ANY DATA ACCURACY OR DATA QUALITY ISSUES, INCLUDING ANY CLAIMS OR DAMAGES THAT RESULTED FROM THE CLINICAL DATA RETRIEVAL OR USES THEREOF.
  14. VIM ACKNOWLEDGES THAT IT IS ACTING AS A BUSINESS ASSOCIATE OF THE DATA REQUESTOR UNDER HIPAA AND THAT IT HAS ENTERED INTO A BUSINESS ASSOCIATE AGREEMENT WITH EACH SUCH DATA REQUESTOR.
10. Rx Assist Application presents to Covered Providers the Data Source’s recommendations regarding the patient’s drug prescriptions, including without limitation, generic alternatives, doses, and necessary replacements. ALL RECOMMENDATIONS CONCERNING ALL TYPES OF MEDICATIONS, WHETHER PRESCRIBED OR NOT, ARE PROVIDED BY THE DATA SOURCE AND VIM SHALL NOT BE RESPONSIBLE FOR ANY INJURY OR DAMAGES CAUSED BY USING THE RX ASSIST APPLICATION.

11. Care Collaboration Application (beta version) (“CCA”) identifies patients from your EHR who may be eligible to (1) participate in various care management and specialty programs (“Private Programs”), which have partnered with Vim (“Care Partners”), and/or (2) various services covered by Medicare Part B (“Medicare Programs”, together with Private Programs, collectively, “Programs”). CCA further allows Authorized Users to enroll or request to enroll eligible patients in such Programs.

Upon enabling CCA, the following terms apply to you and your Authorized Users’ use of CCA:

Beta Application. CCA is currently a beta release that is provided for evaluation and feedback purposes only. CCA is not a generally available product and may change substantially before commercial release, or may never be released.
Medicare Program Management Services.
1. For Medicare Programs only, Vim has partnered with LiveCare Corp. d/b/a Clinii (“Clinii”), a technology care management platform that will support your clinical workflows, documentation, patient engagement, and billing-related activities in connection with any Medicare Programs to which you enroll your patients through CCA (“Clinii Services”).
2. You may choose to provide care services covered by the Medicare Program through your in-house clinical staff (“Insource Model”) or to outsource such services (“Outsource Model”) using a third-party call center that Vim has partnered with (“Call Center”). The Call Center is integrated with Clinii, but isn’t part of Clinii. Under the Outsource Model, you will be receiving both the Clinii Services, and the Call Center will deliver the care services covered by Medicare to your patients (“Call Center Services”).
3. All Clinii Services are subject to and governed by Clinii’s Terms and Conditions (“Clinii Terms”). By enrolling patients in Medicare Programs supported by Clinii, you agree to be bound by the Clinii Terms. Clinii is a third-party vendor, independent of Vim, and Vim is not responsible for the Clinii Services.
4. All Call Center Services are subject to and governed by the Call Center Coverage Guide (“Call Center Terms”). By opting to use the Outsource Model, you agree to be bound by the Call Center Terms. The Call Center is a third-party vendor, independent of Vim and Clinii, and neither Vim nor Clinii is responsible for the Call Center Services.
CCA Functionality.
1. Once enabled, CCA scans your EHR records, specifically ICD-10 codes, for relevant chronic conditions, including potential unmet chronic conditions, and identifies patients with ICD-10 codes that may be relevant to one or more Programs, and with respect to Medicare Programs, whether the patient is covered by Medicare Part B (such patients, “Identified Patient(s)”).
2. For Private Programs, Vim securely shares the patient information detailed under Annex A with the applicable Care Partners to return potential identification of an Identified Patient’s eligibility for each Care Partner program.
3. For Medicare Programs, no data is shared until the patient is enrolled, as further described in the following section, and all Identified Patients shall be considered eligible.
4. Authorized Users will determine whether enrollment is appropriate for each Identified User, and may, subject to the Authorized User’s obligations set forth below, submit an enrollment request on behalf of the Identified Patient to enroll with the relevant Program(s).
5. The fact that the CAA displays one or more Programs for which a patient may be eligible does not mean that no other similar or alternative programs exist for such a patient, within CAA or generally, or that the patient is not eligible for other programs that are not displayed in CAA. Vim does not represent or warrant that the CAA provides a complete, exhaustive, or exclusive list of all Programs for which a patient may be eligible.
6. You remain responsible for independently identifying, evaluating, and discussing alternative programs or care options with patients, whether or not such programs are available through CAA.
7. Following submission of an enrollment request by an Authorized User:
  1. Private Programs:
    1. Vim will share the patient information detailed in Annex A below with the applicable Care Partner, and the Care Partner will contact the patient to complete the enrollment.
    2. Authorized Users will be notified once the enrollment has been completed by the Care Partner (“Completed Enrollment”). You may be eligible to receive a payment for Completed Enrollments, as further described in the Payments section below.
  2. Medicare Programs:
    1. Vim will share the patient information detailed in Annex A with Clinii.
    2. Clinii will create the care plan and provide the Clinii Services.
    3. If you opted to use the Outsource Model, the Call Center will provide the Call Center Services.
    4. CPT codes for the relevant care services will be issued by Clinii and will be made available to you through CCA. It is your responsibility to submit the claims to Medicare Part B and receive any applicable reimbursement.
    5. For each enrolled patient, CCA will capture existing actions you and your Authorized Users already perform which could potentially be issued a CPT code (“Auto Capture”). Vim delivers the Auto Capture to Clinii to issue CPT codes, if applicable. The Auto Capture will contain the patient information detailed in Annex A.
    6. You are required to pay the fees as further described in the Payments section below
Eligibility and Enrollment. Eligibility criteria are solely determined by each Authorized User, and by the Care Partner and/or by Clinii, as applicable. Enrollment is completed solely by the Care Partner and/or Clinii, as applicable. Vim does not influence, validate, or confirm such eligibility requirements or enrollment. Vim does not make eligibility and enrollment decisions. Vim, through CCA, simply transmits eligibility and enrollment requests to the Care Partners and/or Clinii, as applicable, and displays their responses to the Covered Provider.
Covered Provider Obligations.
1. With respect to Private Programs, by enabling CCA, you authorize Vim to share Protected Health Information (“PHI”) of your patients with Care Partners, for screening for Identified Patients and facilitating their enrollment in Care Partners’ programs.
2. You are solely responsible for obtaining and maintaining any consents, authorizations, or permissions (including, as applicable, a patient authorization pursuant to 45 C.F.R. § 164.508) required from patients or their authorized representatives as may be necessary to search for unmet chronic conditions, identify potential Care Partner program eligibility, and share patients’ PHI with Care Partners as described herein. For your convenience, you can use our sample Patient Authorization Form.
3. You will immediately inform Vim of any patient who has declined or revoked their consent, authorization, or permission to participate in CCA. You may do so by “opting” a patient out via the CCA by toggling the opt-out button by the patient’s name. Once a patient is opted out, Vim may delete and remove any prior identifications for eligibility with respect to such a patient.
4. You shall maintain documentation of any consents, authorizations, or permissions as described in this Section for as long as CCA is enabled on your account, or as otherwise required by law, whichever is greater, and you shall provide evidence thereof to Vim and Care Partners upon Vim’s reasonable written request.
5. Before submitting an enrollment request on behalf of a patient, you or the Authorized User must verify that enrollment is clinically appropriate for the patient and obtain the patient’s consent to enroll in and be contacted by the applicable Program.
6. You acknowledge that you and your Authorized Users are solely responsible for obtaining appropriate patient consent prior to submitting an enrollment request on behalf of a patient.
7. You are solely responsible for ensuring that all patient consents, authorizations, or permissions comply with applicable state and federal laws (including HIPAA) and your organization’s policies.
8. You are solely responsible for compliance with billing requirements and compliance with law for patients hereunder.
Payments and Fees. Unless agreed otherwise in a signed Order Form between you and Vim, the following payments and fees will apply to your use of CCA:
1. Private Programs: You may be eligible to receive payment for your care coordination and collaboration services provided through CCA, subject to the applicable payment terms of the applicable Care Partner. Such payment information will be made available to you through CCA.
2. Medicare Programs:
  1. For your use of the Insource Model through CAA, you will be charged $7 per Active Patient per month. “Active Patient” means a patient for whom at least one CPT code has been issued to you through CCA, in a given calendar month.
  2. For your use of the Outsource Model through CAA, you will be charged a fee per each issued CPT code, in accordance with the fee table under Annex B.
  3. All fees will be charged monthly and are due and payable within 30 days of the invoice date.
Indemnification. You agree to defend, indemnify, and hold harmless Vim and Vim’s affiliates, licensors, directors, officers, employees, agents and contractors (“Vim Indemnitees”) against any and all claims, demands, losses, costs, and expenses, including reasonable attorney’s fees and litigation expenses, arising out of your or your Authorized Users’ breach of the obligations under these CCA terms.
Disclaimers.
1. Private Programs are provided by Care Partners. You acknowledge that Care Partners’ services, decisions, rules, and communications are the sole responsibility of the Care Partner, and Vim does not (a) guarantee enrollment, (b) set or interpret eligibility criteria or evaluate eligibility, (c) execute enrollments, (d) provide medical or clinical services or clinically evaluate patient records, or (e) verify the accuracy of Care Partner information. You agree to hold harmless Vim and Vim indemnitees for any: (a) eligibility outcomes, including the failure to identify potential eligibility, (b) enrollment results or delays, (c) Care Partner and/or their program performance or communications, (d) changes to Care Partner’s program requirements, or (e) consequences of patient participation or nonparticipation in any Care Partner program.
2. Medicare Programs are supported by Clinii, and, if you opt to use the Outsource Model, care is delivered by the Call Center. Clinii Services and Call Center Services are not part of the services provided by Vim, and both Clinii and the Call Center are independent parties of Vim. When you enroll a patient in a Medicare Program supported by Clinii, or use the Clinii Services, you are contracting directly with Clinii, under the Clinii Terms. When you opt to use the Outsource Model or use the Call Center Services, you are contracting directly with the Call Center under the Call Center Terms. Your use of the Clinii Services and/or the Call Center Services remains at your own risk and responsibility. Vim has no control over the content or processes of Clinii, the Call Center, the Clinii Services, the Call Center Services, the Clinii Terms, or the Call Center Terms, and Vim shall not be liable for any damages that may arise from your or your Authorized Users’ use of the Clinii Services and/or the Call Center Services. Vim does not undertake any obligation to monitor Clinii Services, Call Center Services, Clinii’s content, or the Call Center’s content, and Vim is not responsible for, and does not endorse, any Clinii Services, the Call Center Services, or any content made available by such third parties through CCA. Vim is not a party to the Clinii Terms between you and Clinii or to the Call Center Terms between you and the Call Center. Clinii and the Call Center are each solely responsible for their content and warranties, as well as any claims that you may have related to the Clinii Services and/or the Call Center Services, as applicable. Clinii is solely responsible for providing maintenance and support for the Clinii Services.
3. You remain responsible for any patient communication, care coordination, or documentation associated with enrollment.
4. CCA IS PROVIDED “AS IS”. CCA IS NOT A CLINICAL TOOL AND DOES NOT PROVIDE ANY MEDICAL, DIAGNOSTIC, OR TREATMENT ADVICE, AND COVERED PROVIDER AND ITS AUTHORIZED USERS MUST EXERCISE DUE CARE AND JUDGMENT IN ITS USE OF THE CCA AND COMPLY WITH ALL APPLICABLE CLINICAL, LEGAL, AND REGULATORY DUTIES.
5. To the maximum extent permitted by law, Vim disclaims all liability arising from: eligibility evaluations or errors, enrollment outcomes, data inaccuracies, technical or transmission issues, reliance on information provided through the CCA, and any actions, errors, or omissions of Care Partners.
Feedback and Fair Use
1. By providing feedback or suggestions (“Feedback”), you grant Vim a perpetual, royalty-free, transferable license to use such Feedback without restriction.
2. Vim may limit usage to ensure system performance during beta.
Termination. Vim may suspend or terminate access to CCA at any time. You may discontinue use at any time.

Annex A – Information Shared with Partners:

Eligibility: for eligibility check, the following patient data is extracted by CCA from your EHR and shared with the applicable Care Partner:
1. Medical Record Number (MRN) – Unique patient identifier from EHR
2. Patient’s first name and last name from the
3. Patient’s Date of Birth
4. Patient’s zip code
5. ICD-10 Diagnosis Codes – All diagnosis codes from the patient’s problem list
Enrollment: for enrollment completion, the following patient data is extracted by CCA from your EHR and shared with the applicable Care Partner/Clinii:
1. Medical Record Number (MRN) – Unique patient identifier from EHR
2. Patient’s first name and last name from the
3. Patient’s Date of Birth
4. Patient’s Phone Number (if available)
5. Patient’s Email
6. ICD-10 Diagnosis Codes – All diagnosis codes from the patient’s problem list
Auto Capture: for generating the Auto Capture, the following patient data is extracted by CCA from your EHR and shared with Clinii:

– Care coordination

– Care plan review and update

– Chart preparation

– Clinical review

– Monthly Chart Review

– Create a patient note

– Diagnosis review

– Following up on patient orders/referrals

– Lab correspondences

– Medical Record Review

– Monthly Clinical Review

– Encounter Documentation

– Patient Assessment

– Patient education

– Patient preparation

– Pharmacy correspondences

– Prescription refill

– Provider order for labs

– Provider order for pharmacist consult

– Referrals

– Review care plan

– Review medication

– Update medication

– Scheduling appointments and services

– Updating patient health record

– Provider review of patient labs

– Daily Chart Review

– Prescription transfers

– Prescription process

– +Follow-up on medication status

– Prescription verification

Annex B – Fee per issued CPT Code under Outsource Model

CPT Code	Service Description	Fee
G0506	ONE-TIME onboarding, consent, and care plan development fee	$50
99490	CCM, first 20 minutes of staff time	$45
99439	CCM, each additional 20 minutes of staff time	$35
99487	Complex CCM, 60 minutes with moderate/high complexity care planning	$95
99489	Complex CCM, each additional 30 minutes	$55
G0557	APCM Level 2: 2 or more chronic conditions	$40
G0558	APCM Level 3: Qualified Medicare Beneficiaries, 2+ chronic conditions	$75
99424	Base PCM	$56
99426	PCM, first 30 minutes for a single high-risk condition	$45
99427	PCM, each additional 30 minutes	$35
99453	ONE-TIME device setup and patient education	$18
99445	RPM device supply and data transmission – 2 to 15 days of readings	$35
99454	RPM device supply and data transmission – 16+ days of readings	$40
99470	RPM management, 10 to 19 minutes per month	$21
99457	RPM management, first 20 minutes of staff time	$35
99458	RPM management, each additional 20 minutes	$32