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MB-4027 - USA (Michigan) - Flexible Spending Accounts Service - Deadline April 16,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4027

Government Authority located in Michigan; USA based organization looking for expert vendor for flexible spending accounts service.

[A] Budget: Looking for Proposal

[B] Scope of Service:

Vendor needs to provide flexible spending accounts service.
- Administer the FSA plans in accordance with applicable IRS and other regulations and ensure that the administration and documentation of the plans comply with any changes in regulations.
- Maintain a high level of participant satisfaction with the program.
- Provide quality customer service and account service features, including performance standard guarantees.
- Provide timely utilization and management reporting.
- Provide expert interpretation of federal regulations concerning flexible spending accounts, proactively alert the client of regulation changes or clarifications, and provide expert guidance to the state’s plan managers upon request.
- Smoothly transition, if necessary, at the beginning and end of the contract to another administrator.
- Fully administer a health care FSA credit card offering.
- Offer an exceptional customer service team dedicated to the State.
- Offer customer service representatives on-line access (e.g., through an electronic claim imaging system or equivalent) to claim processing information through the entire claim payment cycle.
- Receive and send all correspondence in health insurance portability and accountability act (HIPAA) compliant electronic formats, including participant eligibility, payroll deduction, plan experience reporting, and billing. All identifiable data must be compliant with all HIPAA Security Regulations. File formats will be defined by the State.
- Post all forms needed for the adjudication of claims to the state’s and contractor’s websites.
- Receive and track mailed, faxed, and uploaded claim forms and substantiating documentation to contractor.
- Offer a web-based participant portal on a contractor supported website where participants can check claim status, view transaction history, account balances, upload documentation, and general plan provisions.
- Participant claim rejection notifications must be tracked, retrievable, and must have specific and understandable reasons for rejection and clear follow-up instructions.
- Contractor must be able to use a state-defined unique participant identifier in all participant specific reporting, correspondence, web access identification, and claim forms.

[C] Eligibility:

- Onshore (USA Organization Only);

[D] Work Performance:

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

Expiry Date : Thursday, 16 April, 2020

Category : Medical Billing and Coding

Country : USA

State : Michigan

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