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MB-3089 - USA (Virginia) - Medical and Prescription Drug Claim Administration Services - Deadline May 22,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3089

Government Authority located in Virginia; USA based organization looking for expert vendor for medical and prescription drug claim administration services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide medical and prescription drug claim administration services to obtain coverage and price proposals for a single health insurance benefit program for all eligible employees, retirees, and dependents.
1. Provide and/or make available necessary, appropriate, and high-quality medical care to each member.
2. Provide a single point of contact responsible for quality control, resolving problems, and expediting services related to the overall performance of the contract.
3. Maintain a toll-free customer service number for covered members.
4. Arrange through Network Providers, for the reasonable availability of Covered Services from a network of health care providers to Beneficiaries.
5.Vendor shall assist Montgomery County/Schools in complying with the requirements of any applicable state or federal statute, ordinance, law, rule, regulation, or order of any governmental or regulatory body having jurisdiction over the Plan.
6. Vendor shall maintain professional liability insurance coverage to insure against any claim for damages arising out of or by reason of any acts or omissions directly or indirectly in connection with Vendor participation in Utilization Review, Quality Improvement or Provider Contracting Services
- Provide a year-end report, outlining the following:
a) claims discounts versus the average wholesale price for brand and generic on both a retail and mail order basis
b) amount of dispensing fees paid during the year
c) Account of manufacturer rebates for prescriptions taken by members
(2) Contract period will be for one year.

[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 : Wednesday, 22 May, 2019

Category : Medical Billing and Coding

Country : USA

State : Virginia

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