MB-2866 - USA (Florida) - Health Plan Administrative Services - Deadline March 14,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2866

Government Authority located in Florida; USA based organization looking for expert vendor for health plan administrative services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide health plan administrative services.    
- The city is requesting a comprehensive, dedicated account management team to be assigned to the city to assist with claims, eligibility and day-to-day service issues.
- It is the intention of the city to contract with a single medical plan provider with accessible hours of operation and demonstrated service results to administer the comprehensive self-funded program, including all medical and prescription drug benefits for active employees, eligible retirees, and eligible dependents. - Web-based administrative tools should be available to the city benefits department to manage eligibility via an employer portal on an ongoing basis. If the service is available, the city is also requesting that you propose an option to provide an enrollment tool for employees to make coverage elections on an employee portal.
- Web-based educational tools should be made available to plan participants providing information on issues such as claims status, health and wellness topics, and provider and treatment cost calculators that are based on the specific plan designs of the city.
- The proposer should identify and track the Medicare coordination period for members with end stage renal disease and assist members in applying for Medicare benefits.
- Proposers should accept self- billing by the city for administrative fees which is based on payment of the invoice as presented and retroactive adjustments made by the city in the following month.
- Medical fees should include customer and administrative services, claims adjudication, health management, reporting as specifically outlined in the scope of services, and network access fees.
(2) All questions must be submitted no later than March 5, 2019.
(3) A non-mandatory pre-proposal conference was held on February 21, 2019.
(4) Contract term will be 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 : Thursday, 14 March, 2019

Pre-proposal Conference Date : Thursday, 21 February, 2019

Question Answer Deadline : Tuesday, 5 March, 2019

Category : Medical Billing and Coding

Country : USA

State : Florida

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