MB-6678 - USA (Texas) - Medicare Online Verification Subscription Service - Deadline August 15,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-6678

Government Authority located in Texas; USA based organization looking for expert vendor for medicare online verification subscription service.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide medicare online verification subscription service.
- Web interface for researching, correcting, and billing medicare claims
- Real time access to medicare patients’ eligibility information which must include ability to verify patient’s remaining psychiatric days benefits, available through secure interface
- Medicare online connectivity-electronic connection to Medicare’s online system access provided through our secure web interface
- Contractor provides a secure file transfer protocol (SFTP) account to agency to be used for submitting transactions to contractor and for retrieving files back from contractor. To be performed daily and or as needed
- designate a single Project Manager to serve as the Contractor’s primary point of contact for all activities
- Coding Systems, health care coding systems to ensure payment from payers including: International Classification of Diseases Tenth Revision (ICD10) and appropriate procedure codes.
- Eligibility Verification. Must have eligibility verification for all Medicare payers (including Medicare Psychiatric days).
- Contractor shall accept claims on a real-time basis and initiate claim editing requirements upon receipt of claim files.
- Claim Editing. Contractor shall utilize a claim editing or scrubbing system to apply edits based on the claim date
- Claims Rejected in Claim Editing
- Claim Correction and Resubmission.
- Claim Submission to Payer
- Customer service telephone support shall be available during the core business hours of Monday through Friday, 7:00 a.m. to 6:00 p.m. Central Time
-  Web Based Resources. Real-time, secure web interface system shall include the ability to view, patient specific information related to Medicare eligibility and Medicare claims processing.
(2) All question must be submitted no later than August 5, 2022.

[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 : Monday, 15 August, 2022

Question Answer Deadline : Friday, 5 August, 2022

Category : Medical Billing and Coding, Software, System and Application

Country : USA

State : Texas

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