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MB-2869 - USA (New Jersey) - Health Insurance Claim Administration and Network Services - Deadline April 23,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2869

Government Authority located in New Jersey; USA based organization looking for expert vendors for health insurance claim administration and network services.

[A] Budget: Looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide health insurance claim administration and network services for the requirements to be considered a Direct Bill retiree may continue medical coverage on a premium paying basis. MCJHIF engages a billing service to collect and remit premium. The carriers administrators will assume no responsibility relative to the premium billing process.
- Claims Administration
- Utilization Review Health Info Line
- Case Management and Precertification
- HIPAA Administration
- Network Fee
- Disease Management and Predictive Modelling
- Stop Loss Claim Filing and Accounting
(2) The contract term will be for three years.

[C] Eligibility:

Onshore (USA Only)

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Tuesday, 23 April, 2019

Category : Medical Billing and Coding

Country : USA

State : New Jersey

RFP Expired

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