MB-3988 - USA (New Hampshire) - Insurance Benefit and Medical Claims Management Service - Deadline April 6,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3988

Government Authority located in New Hampshire; USA based organization looking for expert vendor for insurance benefit and medical claims management service.

[A] Budget: Looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide insurance benefit and medical claims management service for clients living with human immunodeficiency virus.
- Administering insurance benefit and medical claims management services, in accordance with the Standards of Care for county HIV and AIDS Services.
- Collecting claim forms and other documentation i.e. explanation of benefits from clients, HIV case managers, insurance companies, and healthcare providers for all payments made on behalf of Program clients.
- Ensuring payment efficiency by processing all medical claims in like batches by like provider and client type.
- Monitoring, collecting and reconciling insurance premium and medical claim refunds due to the NH CARE Program, as a result of overpayment and cancellation of coverage.
- Processing insurance premium payments on behalf of eligible program clients, including but not limited to: Private insurance, Medicare Supplemental, Medicare Part D plans, COBRA plans.
- The selected Applicant must submit to a background check prior to obtaining access to the CARE Ware system, in accordance to department of information technology (DoIT) policies and procedures.
- The selected Applicant must conduct all steps of the medical claim payment processing for enrolled agency clients.
- Review current procedural terminology codes on the claim or medical office billing form via the Medicaid management information system portal to ensure
allowable use of funds
(2) All the questions must be submitted no later than March 18, 2020  

[C] Eligibility:

Onshore (USA Only)

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office premises.

[E] Proposal Submission:

Response should be submitted physically (courier or post).

Expiry Date : Monday, 6 April, 2020

Question Answer Deadline : Wednesday, 18 March, 2020

Category : Medical Billing and Coding

Country : USA

State : New Hampshire

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