MB-5182 - USA (North Dakota) - Retiree Health Insurance Credit Administration Services - Deadline May 31,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5182

Government Authority located in North Dakota; USA based organization looking for expert vendor for retiree health insurance credit administration services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

Vendor needs to provide retiree health insurance credit administration services
The contractor shall establish a website for the State program that employees can access to obtain account information, register for direct deposit, and submit premiums for claim reimbursement. The website shall include general information about seeking reimbursement under the program. Desired internet services provided by the contractor shall include: (a) ability to download reimbursement claim forms, (b) access to member account information, including claim payments, pending claims and account balances; and (c) ability to file reimbursement claim forms on-line.
NDPERS will provide the contractor with the following information each month:
• A file of all members who are eligible for the benefit and the amount of the available benefit for each month. This file includes direct deposit information for all newly established retiree accounts, direct deposit information for established retiree accounts, and effective date for cancelled/deceased member accounts. Note that currently over 90% of the accounts are direct deposit.
• A file of all members who paid the monthly premium(s) for an NDPERS-sponsored insurance plan and the amount of premium(s) eligible for reimbursement. This file will be used to substantiate the incurred expenses for members enrolled in NDPERS sponsored insurance plans, in lieu of having the member file a reimbursement claim form for these premiums.
- Contractor will adjudicate at least 95% of all eligible claims which received by the Contractor within 14 calendar days. The claim turnaround time is measured from the date received by the Contractor to the date adjudicated (paid, denied or pended). Adjudication is considered to be finalized upon the date the check or an Explanation of Benefits (EOB) is issued.
- For more information describe in document.

[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, 31 May, 2021

Category : Medical Billing and Coding

Country : USA

State : North Dakota

Cost to Download This RFP Document : $ 5

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