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MB-4575 - USA (New Jersey) - Third Party Claims Administration Medical Bill Re-Pricing Service and Network Access Risk Management Information System - Deadline October 27,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4575

Government authority located in New Jersey, USA; based organization looking for expert vendor for third party claims administration medical bill re-pricing service and network access risk management information system.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide third party claims administration medical bill re-pricing service and network access risk management information system in support of its self-funded workers’ compensation program.
- designed to ensure processing of all claims in accordance with New Jersey Workers’ Compensation
Statutes - Title 34 and all other applicable laws, rules and regulations, from initial assignment
through resolution, payment or withdrawal for all claims.
- to handle the volume of Authority claims in order to attain and maintain consistent, timely and accurate processing of all claims
- Prompt, investigation and pursuit of all claims in a manner designed to minimize litigation and to identify and prevent fraud
- Provision of timely, meaningful and accurate risk management information for the Authority to access, review and utilize in the administration of its risk control program
- compile, submit and keep a record of all forms and correspondence required by the Workers’ Compensation in conjunction with the adjustment of all Authority workers’ compensation claims.
(2) All questions must be submitted no later than October 13, 2020.
(3) Contract period will be three years.

[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 : Tuesday, 27 October, 2020

Question Answer Deadline : Tuesday, 13 October, 2020

Category : Medical Billing and Coding, Software, System and Application

Country : USA

State : New Jersey

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