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MB-4153 - USA (Ohio) - Pharmacy Prescription Claims Services - Deadline June 3,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4153

Government Authority located in Ohio; USA based organization looking for expert vendor for pharmacy prescription claims services.

[A] Budget: Looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide pharmacy prescription claims services.
- Provide all services follow all local, state, and federal laws, rules, regulations, and requirements.
- Provide services that assist local retail pharmacies in processing claims on 24 Hours / 7 Days basis. These services will include an override provision for emergency situations.
- Provide services that assist compounding and specialty pharmacies in processing claims on 24/7 basis, including an override provision for emergency situations.
- Provide a process for patient and clinic identification at the point of sale. This process shall also provide a provision for enrollment and identification of the client at the pharmacy counter when services are requested so that the Ohio Pharmacy Services customer can receive immediate and timely service from the pharmacy.
- Provide services with the ability to create a daily unique prior authorization suffix code that shall be generated by the Offeror.
- Provide services with the ability to be programmed with and without an approved formulary based on the Ohio Pharmacy Services customer type (there may be multiple active formularies).
- Provide services allowing for customization and selection by Ohio Pharmacy Services of the formula or algorithm used to determine the total payment amount that will be paid to the dispensing pharmacy.
- Provide training and education services to Ohio Pharmacy Services staff that explains the Offeror’s process.
- Provide Ohio Pharmacy Services with online access to claims data.
(2) All the questions must be submitted no later than May 27, 2020
(3) The contract period will be for one year.  

[C] Eligibility:

Onshore (US organization Only)

[D] Work Performance:

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

Expiry Date : Wednesday, 3 June, 2020

Question Answer Deadline : Wednesday, 27 May, 2020

Category : Medical Billing and Coding, Pharmaceutical, Pharmacy & Related Services

Country : USA

State : Ohio

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