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MB-2995 - USA (Florida) - Medical Administration Services Only - Deadline May 6,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2995

Government Authority located Florida; USA based organization looking for expert vendor for Medical Administration Services Only.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide Medical Administration Services Only to Plan Administration.
- Assign a dedicated and part-time claims representative who will be able to go on-site at School Board locations bi-monthly to assist with administrative issues and employee claims and other issues.
- Coordinate claims with Medicare in accordance with Medicare rules and pay claims where retirees over age 65 and eligible for Medicare Part B
- Provide COBRA and HIPAA administration and pay COBRA beneficiary claims
- Establish and maintain a toll-free line for employees. This line should be operational from at least 8 a.m. to 6 p.m. (Eastern Standard Time). A voice mail system or equivalent system should be available to take off-hour or weekend calls
- Administer the plan on a detail billing remittance basis by division, separated by active employee, retiree and COBRA beneficiary
- Retain medical claims history online for minimum of twenty-four (24) months
- Access to Claims Files
- Ownership of Claim Data
- Provider and Network Services to provider managed care network consisting of hospitals, physicians, allied and ancillary services, and durable medical equipment
- Provide Medical Case Management
(2) All questions must be submitted no later than April 16, 2019.
(3) A contract period will be for three years.

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

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

Expiry Date : Monday, 6 May, 2019

Question Answer Deadline : Tuesday, 16 April, 2019

Category : Medical Billing and Coding, Medical Services, Professional, Consulting, Administrative or Management Support Services

Country : USA

State : Florida

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