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MB-2988 - USA (Ohio) - Pharmacy Claims Processing Services - Deadline May 17,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2988

Government Authority Located in Ohio; USA based organization looking for expert vendor for pharmacy claims processing services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

Vendor needs to provide pharmacy claims processing services that offering claims service and processing through an experienced third- party is the most efficient way to administer the pharmacy benefit program.
- Operate a pharmacy point of sale system where claims processing will occur 24 hours per day, 7 days per week except for defined maintenance periods,
- Perform edits and checks on all claims in the point of sale system including, but not limited to, coordination of benefits, excluded drug classes or individual drugs and active clients, using metrics specified by the program,
- Accept inbound client eligibility, insurance carrier, pharmacy, prescriber and drug files,
- Claims file to daily containing approved, denied and voided claims.

[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 : Friday, 17 May, 2019

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

Country : USA

State : Ohio

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