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MB-3648 - USA (California) - Medical Bill Review, Cost Containment and Check Writing Services - Deadline January 23,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3648

Government authority located in California, USA; based organization looking for expert vendor for medical bill review, cost containment and check writing services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide medical bill review, cost containment and check writing services with an electronic data transfer process for all services including electronic billing.
- medical treatment including hospital, medical/legal, pharmacy, medical supplies, out-of-state bills and appropriately reducing the bills according to the prescribed rates
- Maintain an up to date bill review system, fee schedule, PPO Network contract rates, and changes in PPO Network providers
- Bills should be reviewed and processed within five to ten business days from the Contractor’s receipt date, with the exception of provider bills sent via eBilling.
- Track duplicate bills, service dates, diagnostic codes, original bill amount, received date, recommended reduction, and penalty and interest
- Review and provide payment recommendation on bills and liens to guide the claims analyst in negotiating or settling any billing issues
- Interface with iVOS to view bill images for bill review and payment.
- Merge updated vendor/provider data with previous vendor/provider data to establish and maintain current vendor status.
- Track and identify potential fraud and abuse from service providers.
(2) A pre-proposal meeting will be held on December 19, 2019.
(3) All questions must be submitted no later than December 30, 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 : Thursday, 23 January, 2020

Pre-proposal Conference Date : Thursday, 19 December, 2019

Question Answer Deadline : Monday, 30 December, 2019

Category : Medical Billing and Coding

Country : USA

State : California

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