MB-5975 - USA (Texas) - Voluntary Dental Insurance and Third-Party Administrative Services - Deadline February 22,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5975

Government authority located in Texas; USA based organization looking for expert vendor for voluntary dental insurance and third-party administrative services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide voluntary dental insurance and third-party administrative services.
- Must maintain a fully automated claims adjudication system in compliance with electronic transmission standards and security requirements and all other regulations as required by HIPAA; offer integration of systems (claim, provider network, utilization review) and provide web access to plan participants that allows for claim status, provides account balances and accumulators, and offers various customer service functions.
- Maintain both a customer call center and web-based customer portal offered in both english and spanish to include bilingual customer service staff. additionally, all printed plan material must be provided in both english and spanish.
- Provide the city’s employee benefits staff with the advanced copies of all general employee correspondence to include changes in services, benefits, and 60-day minimum notice of provider changes to employees.
- The carrier must provide a single point-of-contact senior account manager with a direct telephone number.
- Provide timely response to inquiries from plan participants and providers regarding eligibility and status of claim payment and any other information in a manner that will limit the city’s involvement in day-to-day inquiries.
- Provide portal access to employee benefits staff for manual enrollment.
- The city will provide a full file for active Civilian eligibility via EFT on a bi-weekly basis.
- The city contracts with an external vendor for COBRA administration. Payment for cobra participants is remitted to selected respondent by the end of each month for that month’s coverage.
(2) A Pre-Submittal Conference will be held on January 18, 2022.
(3) All questions must be submitted no later than January 26, 2022.

[C] Eligibility:

- Onshore (US Organization Only);

[D] Work Performance:

Performance of the work will be Offsite.

Expiry Date : Tuesday, 22 February, 2022

Pre-proposal Conference Date : Tuesday, 18 January, 2022

Question Answer Deadline : Wednesday, 26 January, 2022

Category : Medical Billing and Coding, Insurance Services

Country : USA

State : Texas

Cost to Download This RFP Document : $ 5

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