MB-4120 - USA (California) - Pharmacy Benefits Management Services - Deadline May 21,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4120

Government Authority located in California; USA based organization looking for expert vendor for pharmacy benefits management services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

Vendor needs to provide pharmacy benefits management services to CDPH/OA and its enrolled Clients.
- Receive client program eligibility and health plan data from the enrollment system
- Securely transfer claim-level data for paid claims to state department of public health/office
- Provide secure query and reporting access to all claims data including rebate processing data
- Establish and maintain state department of public health/office qualified pharmacy network and provide technical and administrative support to dispensing pharmacies
- Manage and adhere to the state department of public health/office formularies
- Ensure that the pharmacies in the network dispense prescriptions
- Accurately adjudicate pharmacy claims
- Ensure service and dispensing data quality and accuracy
- Work with health insurance providers and pharmacies to resolve and reconcile claim issues
- Conduct pharmacy audits
- Conduct pharmacy audits.
- Proactively share knowledge of industry standards and requirements
- Ensure state department of public health/office is the payer of last resort including subsequent back billing to medi-cal, medicare, and other public and private insurance providers.

[C] Eligibility:

Onshore (USA Organizations Only)

[D] Work Performance:

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

Expiry Date : Thursday, 21 May, 2020

Category : Medical Billing and Coding

Country : USA

State : California

RFP Expired

You can either pay for Single RFP/Bid document or Subscribe with Monthly Subscription for whole Medical Billing and Coding Category/Categories.

If you will obtain monthly subscription for Medical Billing and Codingcategory/categories, you will be able to access all the RFPs from that Category. Here are the Monthly Subscription offers. So, subscribe for Monthly offers and get rid of Individual RFP payment.

*No commitment =
(1) There is no minimum commitment.
(2) You can subscribe for as less as 1 month and cancel it any time. If you subscribe for annual offer, you can cancel it any time within year.
(3) There is no partial refund policy after Monthly or Annual subscription. You will be required to use services for a Month (Or Year since you have availed discounted pricing).
(4) You can cancel your subscription any-time directly from your PayPal account to stop further recurring charges before next due date.
(5) You will be able to download all RFPs for subscribed Category or Location without any extra cost.

Similar RFPs