MB-5805 - USA (New Hampshire) - Claims Management Services - Deadline December 8,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5805

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

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide claims management services.
- Process reimbursement claims on a monthly basis.
- Medicare A: 150 claims.
- Medicare B: 150 claims.
- Commercial insurers: 100 claims.
- Medicaid and managed care organizations: 100 claims.
- 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 batch of claims.
- Providing local printing.
- The ability to print and mail manual claims on behalf of NHH.
- 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 NHH manager.
- Applying claims scrubbing to enhance claims acceptance and payment upon first submission.
(2) All the questions must be submitted no later than November 16, 2021
(3) The contract period will be for three years.

[C] Eligibility:

- Onshore (US Organization Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Wednesday, 8 December, 2021

Question Answer Deadline : Tuesday, 16 November, 2021

Category : Medical Billing and Coding

Country : USA

State : New Hampshire

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