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MB-3356 - USA (Ohio) - Third Party Administrative or Administrative Services - Deadline September 6,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3356

Government Authority located in Ohio; USA based organization looking for expert vendor for third party administrative or administrative services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide third party administrative or administrative services and pharmacy benefit management services,
- Seeking a pharmacy benefit manager to administer its prescription drug program, consideration will be given for employee on-line access to the participating pharmacy list, formulary lists, and personal pharmacy information, consideration will also be given for access to a pharmaceutical consultant, preferably a licensed pharmacist, who can analyse pharmacy program and make
recommendations
- Other network options should provide average discounts for the top five hospitals in the proposed network on both an inpatient and outpatient basis, and should also provide average provider discounts for the proposed network for providers,
- A reference-based pricing plan, in which claims are paid on a percentage above Medicare basis, rather than utilizing a network,
- Medical and prescription drug claims are covered under the specific and aggregate is requesting that this remain with the same with new stop loss coverage,
- Identify if your utilization review is a part of your services and whether it is an in-house service or provided by an outside vendor, and whether medical management is URAC-accredited,
- Provide information on disease management and wellness programs they offer,
- Indicate whether COBRA/HIPAA administration is provided in-house or through an outside vendor,
- On-line access as possible to the plan information for management purposes as well as, but not limited to, the ability to monitor claims, run reports and make enrolment changes online.
(2) A Letter of Intent must be submitted no later than August 15, 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, 6 September, 2019

Category : Medical Billing and Coding

Country : USA

State : Ohio

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