MB-2972 - USA (Arizona) - Administrative Services for Self-Funded Short-Term Disability and Public Safety Long-Term Disability - Deadline April 18,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2972

Government Authority located in Arizona; USA based organization looking for expert vendor for administrative services for self-funded short-term disability and public safety long-term disability.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide administrative services for self-funded short-term disability and public safety long-term disability services to employees and retirees who reside in Arizona.
• Account Management –
o Provide a designated Account Manager and Account Management team.
• Customer Services –
o Provide a designated call and claim unit with toll free telephone access.
o Provide customer service to answer inquiries on claims, eligibility, provider network, services, coverage, or other inquiries from participants Monday through Friday from 8:00 AM to 6:00 PM (AZ time)
• Claims Administration –
o Provide claims forms.
o Receive claims and process payments of benefits in accordance with the plan designs for all claims incurred.
o Correspond with participants and providers if additional information is necessary to complete the processing of claims.
o Determine benefits payable under the Plan, pursuant to the terms and conditions of the City’s Benefit Plan booklets.
o Coordinate benefits payable under the Plan and with other benefit plans, if applicable.
o Provide notice to the Participants regarding the reason(s) for denial of benefits (which are denied) and provide for the review of such denied claims.
o Provide notice to Participants in the form of an explanation of benefits for claims transactions.
o Provide W2 and 1099 forms, if needed.
o Perform Recovery of Payments of $25 or more.
o Administer a Fraud and Abuse Detection Program.
(2) A pre-offer conference will be held on April 09, 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 : Thursday, 18 April, 2019

Pre-proposal Conference Date : Tuesday, 9 April, 2019

Category : Medical Billing and Coding

Country : USA

State : Arizona

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