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MB-4599 - USA (New Hampshire) - Claims Management Services - Deadline November 12,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4599

Government Authority located in New Hampshire; USA based organization looking for expert vendor for claims management services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide claims management services that provide electronic management of state hospital claims, including: electronic acknowledgment of reimbursement (explanation of benefits); verification of benefit eligibility both online and via a batch process; ability to correct or modify claims; ability to electronically forward secondary claims; and compatibility or capability of interfacing with state hospital’s electronic health record.
- Claims Management Services that include, but are not limited to: reporting claims status with the ability to provide the current state of claims at any given time, conducting rejection analysis that include, but are not limited to, rejection patterns and reasons for rejection by various criteria as
identified by the department, the ability to complete direct online entry, edit, and management
of claims, the ability to attach supporting documents to claim files, the ability for the department to resubmit a single claim or a match of claims, providing local printing, the ability to print and mail manual claims on behalf of state, the ability to process electronic submission of secondary payer claims, providing support services for business and technical functionality, providing a full suite of management reports, providing customer customizable reports, creating and retaining new reports, having role-based responsibilities based on user credentials, the ability to assign a claim to a specific state manager, applying claims scrubbing to enhance claims acceptance and payment upon first submission.
(3) An optional Letter of Intent Submission due on October 13, 2020.
(2) All question must be submitted no later than October 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

Expiry Date : Thursday, 12 November, 2020

Category : Medical Billing and Coding

Country : USA

State : New Hampshire

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