Posted Date : September 19,2018
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-2560
Government Authority located in Mississippi; USA based organization looking for expert vendor for medical claims and performance audit services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide medical claims and performance audit services of the Plan’s medical claims third party administrator to its management of the Employees’ Life and Health Insurance Plan to large, self-insured health plans include active, retired, and COBRA employees to
a. Operational review of medical claim payment procedures
b. Forms and communication process
c. Training programs and employee evaluation process
d. Exception processing, security and override procedures relating to approval of claims and access to records
e. Cost containment procedures
f. Quality procedural manuals provided to claims processing, customer service, etc.
g. Internal audit process
h. Mail receipt and tracking
i. Evaluation of the security of records and data
j. Evaluation of customer service, including communication of the Plan’s benefits, policies, and procedures.
(2) An Intent to Propose/Questions due on October 5, 2018.
(3) A contract period will be for four 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.
Budget :
Deadline to Submit Proposals: October 23,2018
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
![]()
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-2560
Government Authority located in Mississippi; USA based organization looking for expert vendor for medical claims and performance audit services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide medical claims and performance audit services of the Plan’s medical claims third party administrator to its management of the Employees’ Life and Health Insurance Plan to large, self-insured health plans include active, retired, and COBRA employees to
a. Operational review of medical claim payment procedures
b. Forms and communication process
c. Training programs and employee evaluation process
d. Exception processing, security and override procedures relating to approval of claims and access to records
e. Cost containment procedures
f. Quality procedural manuals provided to claims processing, customer service, etc.
g. Internal audit process
h. Mail receipt and tracking
i. Evaluation of the security of records and data
j. Evaluation of customer service, including communication of the Plan’s benefits, policies, and procedures.
(2) An Intent to Propose/Questions due on October 5, 2018.
(3) A contract period will be for four 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.
Budget :
Deadline to Submit Proposals: October 23,2018
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$