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MB-4007 - USA (Texas) - Medical Administrative Services Only, Third Party Administrator, Employee Assistance Program and Plan Concierge-Disease Management Services - Deadline April 16,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4007

Government Authority located in Texas; USA based organization looking for expert vendor for medical administrative services only, third party administrator, employee assistance program and plan concierge-disease management services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide medical administrative services only, third party administrator, employee assistance program and plan concierge-disease management services.
- Proposer must be engaged in the business of providing third party administration services specifically for claims administration to public entities, able to provide pricing transparency service whether their own or through a third party, an implementation timeline, satisfactory claims process and provide training to their employees that process claims, allow the client to audit medical claims at least once per year, an internal audit claims process, benefits that will duplicate those currently in-force, services for subrogation of claims and an agreement to work with the city to monitor and coordinate all subrogation claims, care coordination services, to include complex care coordination, large case management services., hospital audit services, services for in-network and out-of-network participants with regard to hospital preadmission review, concurrent stay review. provide performance guarantees on claims, customer service, employee satisfaction and consistency of network, on-line account services for participants to include ordering enrollment cards, managing FSA account features, view claims payment status and EOBs, plan details, eligibility details, and general health and wellness information, procedures on negotiations with non-network providers, on-line plan comparison calculator services and treatment cost calculator services, charge planning and procedure specific second opinion and customer service call center for clients.
(2) A pre-proposal conference will be held on March 26, 2020.
(3) All question must be submitted no later than March 30, 2020.

[C] Eligibility:

- Onshore (US Organization Only);

[D] Work Performance:

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

[E] Proposal Submission:

Response should be submitted physically (courier or post).

Expiry Date : Thursday, 16 April, 2020

Pre-proposal Conference Date : Thursday, 26 March, 2020

Question Answer Deadline : Monday, 30 March, 2020

Category : Medical Billing and Coding

Country : USA

State : Texas

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