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MB-2888 - USA (Idaho) - Pharmacy Benefits Management Services - Deadline April 17,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2888

Government authority located in Idaho, USA; based organization looking for expert vendor for pharmacy benefits management services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide pharmacy benefits management services for claims adjudication, coordination of benefits and a point-of-sale system, ensuring statewide accessibility to pharmaceuticals for clients, processing point-of-sale pharmaceutical purchases, adjudicating pharmaceutical-related claims, coordination with Medicare, Medicaid, and private insurance carriers, collecting and reporting data on pharmaceutical- and insurance-related claims and billing third-party payers when clients are found to be retro-eligible for other types of coverage, implement and maintain an efficient and cost-effective program with a comprehensive distribution network of pharmacies.
- Maintain a data system for receiving and managing client eligibility information to use for claims processing, monthly invoicing, reports and billing.
- Implement and monitor cost containment measures.
- Maintain a help desk and toll-free number that provides technical assistance for coordination of benefits, claims processing and billing.
(2) A non-mandatory pre-proposal conference will be held on March 12, 2019.
(3) All questions must be submitted no later than March 21, 2019.

[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 : Wednesday, 17 April, 2019

Pre-proposal Conference Date : Tuesday, 12 March, 2019

Question Answer Deadline : Thursday, 21 March, 2019

Category : Medical Billing and Coding, Pharmaceutical, Pharmacy & Related Services, Software, System and Application

Country : USA

State : Idaho

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