Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-7235

Government Authority located in New York; USA based organization looking for expert vendor for medical indemnity fund administration services.

[*] Budget: Looking for Proposals

[*] Scope of Service:

(1) Vendor needs to provide medical indemnity fund administration services
- Case Management encompasses the planning, processing, and monitoring of the healthcare services provided to the enrollee. The Contractors’ Case Management Team must communicate with the Claims Processing Team all necessary information and documentation in order to process claim transactions completely and timely
- Case management data for each enrollee, including backup documentation;
- Such documentation and records shall be made available to the Department upon request; and,
- The system shall be searchable and be capable of producing Department required reports such as case management histories by Enrollee, and any other types of summary reports as requested by the Department
- Notify the Enrollee or representative, in writing, of the approved and/or denied service(s);
- Outline the bidding process for the enrollee or their representative
- Customer Service:
- The representatives must provide assistance in completing claims forms, and identifying documentation required with a claim, handle payment-related complaints, and assist in resolving issues with claims processing.
- This toll-free line must be open and available for answering calls Monday through Friday from 8:30 am through 5:00 pm, unless such day is a Department-approved State holiday. Any holidays must be requested and approved in advance by the Department
- All calls will be answered by a live representative within thirty (30) seconds.
(2) All the questions must be submitted no later than March 28, 2023.

[*] Eligibility:

Onshore (USA Organization Only);

[*] Work Performance:

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

Expiry Date : Thursday, 4 May, 2023

Question Answer Deadline : Tuesday, 28 March, 2023

Category : Medical Billing and Coding

Country : USA

State : New York

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