MB-3371 - USA (Delaware) - Fertility Benefits Third-Party Administrator Services - Deadline September 6,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3371

Government Authority located in Delaware; USA based organization looking for expert vendor for fertility benefits third-party administrator services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide fertility benefits third-party administrator services for the group health insurance program.
- Administer all fertility benefits that are currently covered by the State’s medical plan as of August 1, 2019,
- Offer state of the art administration of fertility benefits and related services, including fertility preservation and embryo biopsy and testing, with particular attention to the quality of care delivered,
- Provide a consistent member experience across the entire group health insurance program population regardless of medical plan enrolment,
- Build and maintain a stable provider network that is based on those providers’ proven ability to deliver better health outcomes for a variety of fertility procedures,
- evaluate providers for quality and efficiency, including use of public credentialing data sources, initially and on an ongoing basis,
- articulate how the fertility benefit will overlay with the state’s existing health plans, including how it would be operationalized and communicated to group health insurance program members both during implementation and on an ongoing basis for members currently receiving treatment as well as new users of this benefit,
- work collaboratively with the State’s medical and pharmacy vendors to support the proper administration of claims accumulators,
- Minimize member disruption while maximizing member experience,
- Provide group health insurance program participants with concierge services including support with locating a provider, handling all medical data collection, appointment setting, travel arrangements, and follow-up care coordination
- Provide excellent customer service to participants,
- Provide excellent account management services to the State, including timely reporting,
- Provide competitive financial terms including bundled and/or discounted pricing for medical services and prescription drugs associated with these fertility benefits.
(2) Intent to bid must be submitted no later than August 16, 2019.
(3) A mandatory pre-bid conference call must be held on August 20, 2019.
(4) All the questions must be submitted no later than August 23, 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

Pre-proposal Conference Date : Tuesday, 20 August, 2019

Question Answer Deadline : Friday, 23 August, 2019

Category : Medical Billing and Coding

Country : USA

State : Delaware

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