MB-2998 - USA (Texas) - Healthcare Administration Services - Deadline May 31,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2998

Government Authority located in Texas; USA based organization looking for expert vendor for healthcare administration services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide healthcare administration services to include Third Party Administration (TPA) and Pharmacy Benefit Manager (PBM) services for its self-funded VIAcare PPO plans.
- Third Party Administration include the following elements at minimum pre-authorization, fraud detection, emerging therapies, wellness and condition management, coverage management, utilization management; and coordination of benefits.
- Pharmacy Benefit Manager to include pre-authorization, fraud detection, generic & therapeutic substitutions, emerging therapies, condition management, coverage management, utilization management; and coordination of benefits.
- Phone customer service hours must include, at a minimum, Monday through Friday from 7:00 a.m. to 7:00 p.m. (Central), with emergency service coverage and instructions for receiving care outside of the required business hours.
- Utilization Management including, but not limited to preauthorization of services, monitoring and enforcement of compliance with medical policies, and other programs.
(2) A pre-proposal conference is scheduled for April 24, 2019.
(3) All question must be submitted in written no later than May 1, 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 : Friday, 31 May, 2019

Pre-proposal Conference Date : Wednesday, 24 April, 2019

Question Answer Deadline : Wednesday, 1 May, 2019

Category : Medical Billing and Coding, Call Center and Answering

Country : USA

State : Texas

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