MB-3648 - USA (California) - Medical Bill Review, Cost Containment and Check Writing Services - Deadline January 23,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3648

Government authority located in California, USA; based organization looking for expert vendor for medical bill review, cost containment and check writing services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide medical bill review, cost containment and check writing services with an electronic data transfer process for all services including electronic billing.
- medical treatment including hospital, medical/legal, pharmacy, medical supplies, out-of-state bills and appropriately reducing the bills according to the prescribed rates
- Maintain an up to date bill review system, fee schedule, PPO Network contract rates, and changes in PPO Network providers
- Bills should be reviewed and processed within five to ten business days from the Contractor’s receipt date, with the exception of provider bills sent via eBilling.
- Track duplicate bills, service dates, diagnostic codes, original bill amount, received date, recommended reduction, and penalty and interest
- Review and provide payment recommendation on bills and liens to guide the claims analyst in negotiating or settling any billing issues
- Interface with iVOS to view bill images for bill review and payment.
- Merge updated vendor/provider data with previous vendor/provider data to establish and maintain current vendor status.
- Track and identify potential fraud and abuse from service providers.
(2) A pre-proposal meeting will be held on December 19, 2019.
(3) All questions must be submitted no later than December 30, 2019.

[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 : Thursday, 23 January, 2020

Pre-proposal Conference Date : Thursday, 19 December, 2019

Question Answer Deadline : Monday, 30 December, 2019

Category : Medical Billing and Coding

Country : USA

State : California

RFP Expired

You can either pay for Single RFP/Bid document or Subscribe with Monthly Subscription for whole Medical Billing and Coding Category/Categories.

If you will obtain monthly subscription for Medical Billing and Codingcategory/categories, you will be able to access all the RFPs from that Category. Here are the Monthly Subscription offers. So, subscribe for Monthly offers and get rid of Individual RFP payment.

*No commitment =
(1) There is no minimum commitment.
(2) You can subscribe for as less as 1 month and cancel it any time. If you subscribe for annual offer, you can cancel it any time within year.
(3) There is no partial refund policy after Monthly or Annual subscription. You will be required to use services for a Month (Or Year since you have availed discounted pricing).
(4) You can cancel your subscription any-time directly from your PayPal account to stop further recurring charges before next due date.
(5) You will be able to download all RFPs for subscribed Category or Location without any extra cost.

Similar RFPs