MB-5228 - USA (Alaska) - Third Party Administration Services - Deadline May 19,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5228

Government authority located in Alaska; USA, based organization looking for expert vendor for third party administration services.

[A] Budget: looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide third party administration services for administer self-funded group benefit programs.
- Care Management, including: Case Management, Utilization Review, Disease Management
- Consolidated Omnibus Budget Reconciliation (COBRA) Administration
- claims administrative services for the Municipality of Anchorage’s self-funded plan as well as COBRA Administration, Flexible Spending Account Administration, Health Savings Account Administration and Health Reimbursement Account Administration
- accurate and timely automated claim processing and payment of all appropriate medical, dental, vision and audio claims as determined by the provisions of the plan documents and plan administrative policies/guidelines
- Administer tiered co-pay structures as well as a coinsurance based cost share
- Adjudicate paper claims
- Claims processing back logs in excess of 15 days
- integrated platform that accommodates auto reimbursement and auto-justification
- provide 24/7 online access for participants to review account balances and paid claims.
- Online claim filing Pre-Tax programs is desired.
- Medical paid claims by subcategory to include in-patient and out-patient facility charges as well as professional charges for surgical, laboratory, radiology, office visits and therapies by type.
(2) A pre-proposal meeting will be held on May 6, 2021.
(3) All questions must be submitted no later than May 7, 2021.

[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 : Wednesday, 19 May, 2021

Pre-proposal Conference Date : Thursday, 6 May, 2021

Question Answer Deadline : Friday, 7 May, 2021

Category : Medical Billing and Coding

Country : USA

State : Alaska

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