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MB-2951 - USA (Texas) - GLOBAL - Medical Administration and Ancillary Benefits Services - Deadline May 8,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2951

Government authority located in Texas, USA; based organization looking for expert vendor for medical administration and ancillary benefits services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide medical administration and ancillary benefits, flexible spending account administration and COBRA administration services.
- Administration of claims processing, member services, provider services and all aspects of medical
Administration.
- Benefit determination, coordination of benefits and appeals
- Custom network development, maintenance and operation
- Full claims fiduciary
- Health care medical management services
- Access to Telehealth options within the medical program
- Claim abuse and fraud management services
- Claim accounting, draft reconciliation and provider 1099 reporting
- Client testing of systems and access including claims
- Administration of employer site to review billing, enrollment and claims
- Access to customized ad-hoc reporting and provision of ad-hoc hours bank
- Administration, including pay-out if applicable, of plan performance guarantees
- Conduct a monthly review of Large claims, including Case Management progress, Clinical Information, Ongoing Prognosis and any other relevant details.
- Administration of fund allocation
- Administration of plan audits, and cooperation with third party audits
- Administration of plan set up, web enrollment maintenance, administration of deposits and mobile apps/online web tools.
(2) A pre-proposal conference will be held on April 2, 2019.
(3) All questions must be submitted no later than April 9, 2019.
(4) Contract period will be one year.

[C] Eligibility:

Global (World-wide)

[D] Work Performance:

Global, companies from all over the world can apply for this. However, Vendor may need to visit client location for onsite meetings.

Expiry Date : Wednesday, 8 May, 2019

Pre-proposal Conference Date : Tuesday, 2 April, 2019

Question Answer Deadline : Tuesday, 9 April, 2019

Category : Medical Billing and Coding, Global

Country : USA

State : Texas

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