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MB-3565 - USA (New Mexico) - Third-Party Administrator Services for Eligibility, Billing and Premium - Deadline November 13,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3565

Government Authority located New Mexico; USA based organization looking for expert vendor for Third-Party Administrator Services for Eligibility, Billing and Premium.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide Third-Party Administrator Services for Eligibility, Billing and Premium administration, Online Benefits System is able to handle transactions allowed on customized paper enrollment forms. The Online system accommodates receipt of required supportive documents to accompany the request via the online process and/or email feedback providing documents as attachments, to implement new processes and procedures to ensure that all Online transactions support.
• The employer enrolls the benefits eligible employee to Basic life as mandated by the Group Life Policy.
• The employer offers other lines of benefit coverage and the method to enroll to the benefit’s eligible employee.
• The employee applies for coverage.
• The employer verifies and certifies the information and enrollment requested.
• The TPA will vet each request applying all
• All employee and employer online transactions will maintain an electronic transaction log.
• All TPA transaction processing will maintain an electronic processing log.
• All documents will be imaged and placed in the employee electronic enrollment record and made available for viewing by authorized personnel.
(2) A 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, 13 November, 2019

Category : Medical Billing and Coding

Country : USA

State : New Mexico

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