Posted Date : July 17,2018
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-2440
Government Authority located in Arkansas; USA based organization looking for expert vendor for Prior Authorization Reviews, Retrospective Reviews and Medical Reviews Consultant Services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide Prior Authorization Reviews, Retrospective Reviews and Medical Reviews Consultant Services to determine the proper utilization and medical necessity of an array of medical services for Medicaid Beneficiaries and other clients, directly or indirectly, in addition to related support functions, to reviews of medical data in order to approve certain services for payment, either prior to services being rendered by a Medicaid Provider, apply to all reviews of submitted or paid claims based on medical necessity, Inpatient and Outpatient Services, Durable Medicaid Equipment, Personal Care, Targeted Case Management, Physician-Administered Drugs, ARWorks Mid-Year Transition, Hospital Admissions/Inpatient Services Retrospective Reviews, Medical Supplies.
(2) All question must be submitted no later than August 25 ,2018.
(3) A 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 location.
Budget :
Deadline to Submit Proposals: August 30,2018
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
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Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-2440
Government Authority located in Arkansas; USA based organization looking for expert vendor for Prior Authorization Reviews, Retrospective Reviews and Medical Reviews Consultant Services.
[A] Budget: Looking for Proposals
[B] Scope of Service:
(1) Vendor needs to provide Prior Authorization Reviews, Retrospective Reviews and Medical Reviews Consultant Services to determine the proper utilization and medical necessity of an array of medical services for Medicaid Beneficiaries and other clients, directly or indirectly, in addition to related support functions, to reviews of medical data in order to approve certain services for payment, either prior to services being rendered by a Medicaid Provider, apply to all reviews of submitted or paid claims based on medical necessity, Inpatient and Outpatient Services, Durable Medicaid Equipment, Personal Care, Targeted Case Management, Physician-Administered Drugs, ARWorks Mid-Year Transition, Hospital Admissions/Inpatient Services Retrospective Reviews, Medical Supplies.
(2) All question must be submitted no later than August 25 ,2018.
(3) A 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 location.
Budget :
Deadline to Submit Proposals: August 30,2018
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$