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MB-6020 - USA (California) - Claims Administration Services - Deadline February 8,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-6020

Government Authority located in California; USA based organization looking for expert vendor for claims administration services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide claims administration services.
• Administrative services:
- Provide the city a tabulated monthly status report on all active claims, indicating open or closed status of each reported claim, the details of each claim, the payments during the month and the reserve status
- Provide for the payment of claims, according to the guidelines given by the city, to the extent that there are funds available in city’s trust account
• Adjustment services:
- The maintenance of a file on each claim reported to proposer
- Periodic review and adjustment of reserves on ail open claims
• Investigative services:
- Receipt and examination of all reports of claims
- Initiate investigation through in-house review of claims, where the nature of the claim warrants such investigation or when requested by city; such investigation to include telephonic or written contact with claimant, witnesses, or employees of city
- Provide a report to city with the findings of such investigation and information regarding any potential for subrogation/third-party recovery.
(2) All questions must be submitted no later than January 31, 2022.

[C] Eligibility:

Onshore (Canada Organizations Only)

[D] Work Performance:

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

Expiry Date : Tuesday, 8 February, 2022

Question Answer Deadline : Monday, 31 January, 2022

Category : Medical Billing and Coding

Country : USA

State : California

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