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MB-6628 - USA (Michigan) - Medical and Prescription Drug Administration Services - Deadline August 15,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-6628

Government Authority located in Michigan; USA based organization looking for expert vendor for medical and prescription drug administration services.

[A] Budget: Looking for proposal

[B] Scope of Service:

Vendor needs to provide medical and prescription drug administration services for administration of post-employment health coverage (medical and prescription drug services) for the Medicare-Eligible Members and non-Medicare Eligible Members, including Retirees, beneficiaries, COBRA participants, and Dependents, of the state Public School Employees’ Retirement System, administered by the Office of Retirement Services.
- Provide a fully functional medical and/or prescription drug Plan for Members which encompasses and manages the needs of an older, retired population
- Provide Services that meet CMS standards for Medicare and industry standards for non-Medicare in the administration of Enrollment, Claims Processing, and Member Support, including review and administration of Grievances and Appeals
- Provide financial management, reporting and analytical support.
- must maintain a claims processing department that can image and scan paper claims, process high volume and complex claims, process out of country claims, handle recoveries, and have staff to handle claims that require manual intervention.

[C] Eligibility:

Onshore (USA organization Only)

[D] Work Performance:

Performance of the work will be offsite.

Expiry Date : Monday, 15 August, 2022

Category : Medical Billing and Coding

Country : USA

State : Michigan

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