MB-4258 - USA (North Carolina) - Third Party Medical Claim Review Services - Deadline June 23,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4258

Government Authority located in North Carolina; USA based organization looking for expert vendor for third party medical claim review services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide third party medical claim review services for medical care rendered to the inmates incarcerated in the County.
- Vendor will review and examine medical claims (bills, invoices and statements) submitted by outside medical providers such as physicians, pharmacies, laboratories and other eligible providers who have rendered care to inmates, determine reasonableness of charges and monitor the quality, quantity and utilization of professional, medical and hospital care rendered, referring medical claims for “auditing” when necessary, upon completion of review, the vendor will issue an explanation of review to the county that includes medical claim information, medical claim information and specific explanations as to the amount of the original medical claim, the usual and customary adjusted billing amount and the reason for any change amount and vendor will mail via united states postal service, the explanation of review along with medical claim on a weekly basis.
(2) A pre-proposal meeting will be held on June 12, 2020.
(3) All question must be submitted no later than June 15, 2020.

[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

[E] Proposal Submission:

Response should be submitted physically (courier or post).

Expiry Date : Tuesday, 23 June, 2020

Pre-proposal Conference Date : Friday, 12 June, 2020

Question Answer Deadline : Monday, 15 June, 2020

Category : Medical Billing and Coding

Country : USA

State : North Carolina

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