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MB-4505 - USA (Florida) - RFI for Third Party Administrator Services - Deadline September 4,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4505

Government Authority located in Florida; USA based organization looking for expert vendor for third party administrator services.

[A] Budget: Looking for proposal

[B] Scope of Service:

Vendor needs to provide third party administrator services to provide or recruit a state-wide network of providers for pediatric specialty medical, behavioral and developmental services for children birth to age 21 years to encompass all service settings and medically necessary service needs.
- To include hospital, outpatient, physician and allied provider office services, in home services, diagnostic services, laboratory services, durable medical equipment, durable medical equipment supplies and pharmacy services.
- Provider network must include access to new-born screening confirmatory diagnostic services and pediatric audiology services for new-born hearing screening and diagnostic testing.
- Utilization management and service authorization for medically necessary services by provider network listed above.
- Claims processing and provider payment for medically necessary services.
- Maintain and update accurate and complete electronic data.
- Laboratory services.
- Diagnostic services including pediatric audiology screenings and diagnostic testing, new-born screening confirmatory diagnostic testing.
- Durable medical equipment and associated supplies
- Pharmacy services.
- Implement and maintain a system to validate eligibility of clients to receive services.
- Provide utilization management, including service authorization, claims processing and provider payment of medically necessary claims by approved providers throughout the state.

[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 : Friday, 4 September, 2020

Category : Medical Billing and Coding

Country : USA

State : Florida

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