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MB-3052 - USA (Virginia) - Medicaid Billing Agent Services - Deadline May 23,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3052

Government Authority located in Virginia; USA based organization looking for expert vendor for medicaid billing agent services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide medicaid billing agent services for the provision of billing services for the school-based medicaid fee for service program, in accordance with the enclosed requirements and specifications.
- Provide a web system that automates the submission of standard claims and eligibility transaction code sets to all third-party health insurance payers, including medicaid and all commercial carriers
- Billing agent will prepare all claims for electronic submission and shall absorb all costs associated with billing
- Provides an automated web-based billing system to manage, track, and process the flow of claiming data from the school board to the state medicaid agency
- Automates the submission standard claims and eligibility transaction code sets to all third-party health insurance payers, including medicaid and all commercial carriers
- Web-based billing system that accepts raw billing data, scrubs it for compliance, and forwards it the state medicaid agency for processing and payment
- Provides the tools necessary to check and maintain medicaid eligibility on a timely basis
- Able to demonstrate experience setting up and managing compliance programs for school departments and provide compliance services specifically for medicaid billing
- Able to logically and physically separate data business rules and user interface layers and provides a flexible, reliable and extensible application that can be easily upgraded to incorporate enhanced technology and systems updates
- Automated remote back-up capabilities with secure encrypted data transfers.
(2) An optional pre-proposal conference will be held on April 30, 2019.
(3) All questions must be submitted no later than May 2, 2019.
(4) The term of the contract shall be five years.

[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, 23 May, 2019

Pre-proposal Conference Date : Tuesday, 30 April, 2019

Question Answer Deadline : Thursday, 2 May, 2019

Category : Medical Billing and Coding, Billing Services, Software, System and Application

Country : USA

State : Virginia

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