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BILLING-1617 - USA (New Hampshire) - Advice to Pay Services for Short-Term Disability Income Protection - Deadline July 8,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: BILLING-1617

Government Authority located in New Hampshire; USA based organization looking for expert vendor for advice to pay services for short-term disability income protection.

[A] Budget: Looking for Proposals

[B] Scope of Service:

Vendor needs to provide advice-to-pay and claims management services for the self-funded IP program
- IP payments are made through the State’s payroll management system.
- Claims management services shall include a minimum of:
• Claims intake (online, in paper and telephonic submission). The intake process may vary based on the capability of the Vendor. If the Vendor has an electronic method of claim submission, the State is amenable to using that system. If follow-up information is necessary, that may be provided over email or phone between the Vendor, the State IP representative, the eligible participant, and the participant’s medical provider.
• Verification of 100% inability to work, start date of event, and approved duration of 100% inability to work.
• Claims management, including confirmation of continued inability to work, up through full-time work release from medical provider.
- The employee will complete their portion of the claim form, including authorization for the Vendor and State agency IP representative to contact a medical provider on their behalf, and attach the completed treating provider(s) portion of the claim form. The employee will submit the completed claim form to their State IP representative.
- The State IP administrator will notify the Vendor via an encrypted email if an employee terminates employment with the State, and thus terminates IP coverage. At this time, the IP claim will be closed.

[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 : Friday, 8 July, 2022

Category : Billing Services

Country : USA

State : New Hampshire

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