Posted Date : April 08,2019
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : EXTRA-5015
Government Authority located in Little Rock, Arkansas; USA based organization looking for expert vendor for dental and vision insurance administration services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
(1) Vendor needs to provide dental and vision insurance administration services for the administration and management of a dental and vision plan (plan) and network of participating providers and facilities and must cover a group consisting of active, COBRA and retired state police uniformed employees, their spouses, and qualified dependents totalling approximately 730 covered lives to the government authority located in Little Rock, AR.
- Claims Administration shall allow that ASP, as the plan administrator, maintains discretionary authority for the plan and has the right to make the final determination on payment of claims, contractor shall convert all paper claims received to an electronic record that must be transmitted in the same HIPAA-compliant electronic format as electronic claims, process and adjudicate all predeterminations and claims received from contractors and/or eligible participants within fifteen (15) calendar days of the predetermination or claim, conduct any investigations necessary for the proper determination and qualification of claims expense under the ASP plan, appropriate benefit payments to plan participants when using non-participating providers for charges deemed eligible for reimbursement by the contractor in accordance with the ASP Plan, contractor shall handle all written and oral communications directly with the plan participant concerning benefits, claims, and claims administration.
(2) All question must be submitted no later than April 12, 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
Budget :
Deadline to Submit Proposals: April 25,2019
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 : EXTRA-5015
Government Authority located in Little Rock, Arkansas; USA based organization looking for expert vendor for dental and vision insurance administration services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
(1) Vendor needs to provide dental and vision insurance administration services for the administration and management of a dental and vision plan (plan) and network of participating providers and facilities and must cover a group consisting of active, COBRA and retired state police uniformed employees, their spouses, and qualified dependents totalling approximately 730 covered lives to the government authority located in Little Rock, AR.
- Claims Administration shall allow that ASP, as the plan administrator, maintains discretionary authority for the plan and has the right to make the final determination on payment of claims, contractor shall convert all paper claims received to an electronic record that must be transmitted in the same HIPAA-compliant electronic format as electronic claims, process and adjudicate all predeterminations and claims received from contractors and/or eligible participants within fifteen (15) calendar days of the predetermination or claim, conduct any investigations necessary for the proper determination and qualification of claims expense under the ASP plan, appropriate benefit payments to plan participants when using non-participating providers for charges deemed eligible for reimbursement by the contractor in accordance with the ASP Plan, contractor shall handle all written and oral communications directly with the plan participant concerning benefits, claims, and claims administration.
(2) All question must be submitted no later than April 12, 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
Budget :
Deadline to Submit Proposals: April 25,2019
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$