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MB-4171 - USA (Arizona) - Dental Claim Administrator Services - Deadline May 26,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4171

Government Authority located in Arizona; USA based organization looking for expert vendor for dental claim administrator services.

[A] Budget: looking For Proposal

[B] Scope of Service:

(1) Vendor needs to provide dental claim administrator services on an as needed basis.
- Vendor shall provide a dedicated team of professionals, who will be responsible to see that all contract requirements and services deliverables are met by the contractor. The County reserves the right to approve the staffing of the client service team.
- Contractor shall attend, in person, semi-annual on-site program reviews, with weekly telephone calls, as requested by the County.
- Contractor shall apply data received electronically from the County’s benefit enrollment system to their system within 48 hours of receipt and will generate an electronic exception report within five working days from applying the data from each file.
- Contractor must accept subscriber identification number as defined by the County. A subscriber identification number could be either an employee identification number or an alternative identification number.
- Contractor shall maintain and update an electronic database of all participants including, but not limited to, participant’s name, subscriber identification number as defined in 2.4.5 addresses, etc., and shall include all information needed to administer the claim payments, maintain complete participant history, and report to the County and Federal and State regulatory bodies as may be necessary or required.
- Contractor shall maintain and update procedures and computer software as needed in order to receive and process all benefit claims according to the plan and all current and future regulations.
- Contractor shall maintain claim processing procedures and software as needed in order to screen claims for duplicate payments, overpayments, underpayments, and non-payments. Contractor shall have a generally accepted and legally compliant process in place to recoup overpayments.
- Contractor shall administer the plan for participants electing to continue them dental plans under COBRA.
(2) A pre-bid conference will be held on May 19, 2020.
(3) All questions must be submitted no later than May 21, 2020.
(4) Contract period will be for three years.

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

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

Expiry Date : Tuesday, 26 May, 2020

Pre-proposal Conference Date : Tuesday, 19 May, 2020

Question Answer Deadline : Thursday, 21 May, 2020

Category : Medical Billing and Coding

Country : USA

State : Arizona

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