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MB-3858 - USA (Arizona) - Employee Vision Plan Services - Deadline March 3,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3858

Government Authority located in Arizona; USA based organization looking for expert vendor for employee vision plan services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide employee vision plan services for eligible active State and university employees, retirees, COBRA members, and their eligible dependents
- Account Administration: assign an account manager as the day-to-day contact that will have the primary responsibility of responding to all issues, coordinating the efforts of Contractor’s staff to resolve issues, and overseeing all aspects of project management including, but not limited to, the initial implementation and ongoing maintenance of the Contract requirements,
- Audit: Staffing of customer services department, Claims administration in terms of processing accuracy, financial accuracy, and timeliness,
- Claims Processing: The claims system shall have the capability of verifying eligibility and eligible services, detecting fraud, tracking information in various categories and formats, determining benefits payable, and issuing payment,
- Creates and maintains claims files,
- Evaluates claims to determine if they have been properly filed,
- Advises claimants of the requirements for additional information and proper completion of claims forms,
- Obtains and furnishes information to enable the coordination of benefits,
- Investigates claims which have higher charges than usual and notifies members in a timely manner of delayed claim payments caused by the presence of duplicate coverage or an error of omission in claim payment documentation,
- COBRA Administration:
- The report shall include, at a minimum:
- Amounts billed to date,
- Amount paid/received to date,
- Amounts outstanding to date,
- Direct Pay Administration:
- Contractor shall provide billing and premium collection for direct pay retirees, LTD members, and COBRA members,
- Billing Process:
- Eligibility reporting for all payments of premiums.
(2) All the questions must be submitted no later than February 26, 2020

[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 : Tuesday, 3 March, 2020

Question Answer Deadline : Wednesday, 26 February, 2020

Category : Medical Billing and Coding

Country : USA

State : Arizona

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