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MB-5864 - USA (Texas) - Claims Processing and Adjudication and Financial Services - Deadline January 18,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5864

Government Authority located in Texas; USA based organization looking for expert vendor for claims processing and adjudication and financial services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

Vendor needs to provide claims processing and adjudication and financial services
a. Business Operations and Business Integration
The Services to be provided by the Business Operations and Business Integration service
provider include the business integration effort and staff managing projects to ensure effective
functioning of the Medicaid ecosystem when divided across multiple vendors.
b. Claims Processing and Adjudication and Financial Services
The Services to be provided by the Claims Processing and Adjudication and Financial Services
service provider include the outsourcing of Fee-for-Service (FFS) claims processing through
an Outsourced Services vendor solution.
c. Application Maintenance and Development of MMIS Modernized Systems
The Services to be provided in the Application Maintenance and Development component
include the support of recently updated applications which will be residing in the State-owned
data center, including Provider Management, Electronic Visit Verification aggregator, the Transformed Medicaid Statistical Information System (T-MSIS) for federal reporting, and
additional systems.
- Medicaid Management Information System (MMIS) is a massive, fully
integrated, highly complex monolithic ecosystem composed of applications, processes, call center,
mainframe computers, and datacenter infrastructure used in support of the Texas Medicaid
delivery system.

[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 : Tuesday, 18 January, 2022

Category : Medical Billing and Coding

Country : USA

State : Texas

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