MB-2685 - USA (New Jersey) - TPA Services and Group Medical Coverage Service - Deadline November 30,2018

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2685

Government authority located in New Jersey, USA based organization looking for expert vendor for TPA services and group medical coverage service.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide TPA services and group medical coverage service.
- Claims administrative services for its self-funded group medical plan,
- A national PPO network with a strong concentration of physicians.
- A separate hospital network, where such separate network provides enhanced hospital discounts as compared to a single combined network.
- Specific and aggregate stop loss coverage.
- Case management and hospital pre-admission certification services on a voluntary basis.
- Billing COBRA members and retirees directly to their respective residences.
- Competitive administrative fees.
- Ability to maximize managed care network and utilization management savings.
- Availability of your network to cover Township employees.
- Effectiveness of utilization management and large case management.
- Providers rating of proposed network.
- Provisions for out of state in network providers.
- Indication of an organized approach to program implementation and a willingness to customize procedures to meet the Township needs.
(2) 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

Expiry Date : Friday, 30 November, 2018

Category : Medical Billing and Coding

Country : USA

State : New Jersey

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