Posted Date : July 17,2018
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-2439
Government Authority located in North Carolina; USA based organization looking for expert vendor for third party administration medical claims audit and related services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
(1) Vendor needs to provide third party administration medical claims audit and related services to perform operational medical claims audits and expertise in medical claims auditing with a proven track record of auditing self-funded plans of similar size and complexity and that must be capable of performing a comprehensive and objective review of the claims processed by the Plan TPAs to determine if claims were adjudicated according to contractual standards, Plan benefits and policies, and industry standards, such as those associated with cost containment and refund procedures.
(2) All question must be submitted no later than August 06, 2018.
(3) Contract period will be for one year.
[C] Eligibility:
- Onshore (USA Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office premises.
Budget :
Deadline to Submit Proposals: September 06,2018
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
![]()
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-2439
Government Authority located in North Carolina; USA based organization looking for expert vendor for third party administration medical claims audit and related services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
(1) Vendor needs to provide third party administration medical claims audit and related services to perform operational medical claims audits and expertise in medical claims auditing with a proven track record of auditing self-funded plans of similar size and complexity and that must be capable of performing a comprehensive and objective review of the claims processed by the Plan TPAs to determine if claims were adjudicated according to contractual standards, Plan benefits and policies, and industry standards, such as those associated with cost containment and refund procedures.
(2) All question must be submitted no later than August 06, 2018.
(3) Contract period will be for one year.
[C] Eligibility:
- Onshore (USA Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office premises.
Budget :
Deadline to Submit Proposals: September 06,2018
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$