Header
Identify the company, account number, contact person, and reference to the original pricing agreement so reviewers can match the rerate request to existing records and avoid duplication.
Using a Business Rerate Form standardizes rate-change requests, reduces processing errors, and preserves an auditable trail for finance and compliance teams. It clarifies authorization, effective dates, and calculation methods so stakeholders can review and approve adjustments consistently.
Typical users include billing managers, account managers, and finance teams responsible for pricing and client communications.
The form helps maintain consistent records for audits, customer inquiries, and internal reporting across teams.
Identify the company, account number, contact person, and reference to the original pricing agreement so reviewers can match the rerate request to existing records and avoid duplication.
List current billed rate, proposed new rate, units or service basis, any volume thresholds, and whether the change is temporary, permanent, or conditional under contract terms.
Show step-by-step math: base rate, discounts, taxes, and prorations. Include formulas and sample invoices to validate the numeric change and audit the calculation; provide rounding rules and currency.
State the exact MM/DD/YYYY effective date and whether billing cycles will be prorated; link to notice periods required by the contract or state law if applicable.
Include printed name, title, department, signature block, and date for authorized signers. Note delegated authority limits and internal approval steps, and provide contact information for verification.
Attach rate schedules, contract excerpts, customer communications, and financial justification such as cost studies or market data supporting the requested rerate for audit and legal review.
| Workflow field (name and role) | Configuration |
|---|---|
| Routing order and approvers list | Sequential user approval with email notifications. |
| Signature authentication and verification method | Email link, SMS code, or KBA option. |
| Document storage destination and retention policy | Save PDF to cloud storage with audit trail. |
| ERP or billing system integration settings | Map account ID and update rate tables automatically. |
Choose distribution channels that match organizational controls, integration requirements, and regulatory compliance needs for handling rerate requests.
By close of day each cycle
Allow three to seven business days for approvals.
Provide notice per contract; typical 30 days.
Effective date aligned with next invoice cycle.
Archive final signed form immediately for audits.
Collect contracts, invoices, and calculations; typical 1–3 business days.
Finance and legal validate rates and compliance; 2–5 business days.
Authorized signers approve and date the form; 1–3 business days.
Update billing system, issue customer notice, and archive.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies by plan | Varies by plan | Varies by plan | Varies by plan |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |