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MB-3566 - USA (Colorado) - Bill Auditing Services - Deadline November 22,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3566

Government Authority located in Colorado; USA based organization looking for expert vendor for bill auditing services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide bill auditing services
- primary provides medical bill reviews, audits, fee scheduling, payment services, and access to a state-wide workers’ compensation PPO medical provider network, along with: outpatient and inpatient utilization review services; and pharmacy benefits services,
- The Provider will provide access to a state-wide workers’ compensation PPO medical provider network and additional discounts below the workers’ compensation medical fee schedule,
- The Provider will be responsible for monitoring and "flagging" duplicate billings of medical bills, any bills previously audited will be returned to the county with a notation that the returned bill is a "duplicate" or has been previously submitted and audited,
- There will be no charge to the County for total duplicate bills, however, partial duplicates covering new dates of service will be charged,
- Any conflicts or complaints from medical providers concerning bill audits completed by the bill review Provider will be handled directly by the Provider,
- The Provider agrees to provide a line-by-line comparison of billed charges to area norms and a thorough examination and analysis of medical bill pricing for bills falling outside of any pre-contracted discounts or fee schedules,
- Hospital line item bill review services shall apply to such inpatient or outpatient hospital bills in excess of $2,500.
(2) All the questions must be submitted no later than November 7, 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, 22 November, 2019

Question Answer Deadline : Thursday, 7 November, 2019

Category : Medical Billing and Coding

Country : USA

State : Colorado

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