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MB-4601 - USA (Virginia) - Pharmacy Benefits Management Services - Deadline October 26,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4601

Government Authority located in Virginia; USA based organization looking for expert vendor for pharmacy benefits management services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide pharmacy benefits management services
- Provide and/or make available necessary, appropriate, and high-quality prescription drug benefits through the establishment of a fixed dollar per unit fee schedule for generic drugs,
- Provide high quality, efficient program administration and services including but not limited to:
- Maintaining central claims and membership files for each covered member (including the identification number or other identifying number, dates of coverage, type of coverage, etc.) for each covered member,
- Maintaining payment records,
- Provide state-of-the-art data tracking and claims payment services,
- Furnish monthly accounting statements by entity and benefit plan including monthly enrollment and amount of claims paid,
- Provide claims, enrollment, and utilization information for prescription drug expenses at a level of detail that will allow for the identification of the true cost drivers of the plan. Include normative data in conjunction with group-specific data,
- Offeror shall provide responsive and effective customer service for members related to billing, eligibility, and claims issues. The County requests that the Offeror's customer service representatives respond to questions and resolve issues/problems directly with covered members rather than referring the members back to the County.
(2) All questions must be submitted no later than October 12, 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 : Monday, 26 October, 2020

Question Answer Deadline : Monday, 12 October, 2020

Category : Medical Billing and Coding

Country : USA

State : Virginia

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