Design prototype, not a live system | Screen 2 of 3 | Screen directory and designer notes

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XYZ Corp Customer #C-00123 EAP level

New Contract

Customer Link

Customer ID

C-00123

Customer Name

XYZ Corp

Contract Details

Contract ID

CT-2026-000481

Contract Status

Contract Start Date

Dates are mm/dd/yyyy.

Contract End Date

Contract Duration

24 months

Evergreen

Eligibility Types

Select every type this contract covers. At least one is needed.

Clinical Billing

Admin Time Billable Intake Time Billable No Shows Billable

Budgeted Utilization Rate

BUR Entry 1

Scope: Product - Counselling

Maximum

Budgeted

Minimum

BUR Unit

Needed once a maximum, budgeted or minimum value is entered.

BUR Entry 2

Scope: Service - Video Counselling

Maximum

Budgeted

Minimum

BUR Unit

Needed once a maximum, budgeted or minimum value is entered.