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MB-3880 - USA (West Virginia) - Clearinghouse Patient Accounts Services - Deadline March 3,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3880

Government authority located in West Virginia; USA based organization looking for expert vendor for clearinghouse patient accounts services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

Vendor needs to provide all application software, installation, programming and interfacing, support, remote statement processing, patient payment processing and collections, employee or designee training and anything incidental for providing a fully integrated clearinghouse service for 837 electronic claims submission to all major insurance carriers and participating payers and 835 remittance advice posting for the 8 facilities.
- Claim volume trends show approximately 100,000 claims per year are processed. All data transmitted to the clearinghouse for remote statement processing shall be the property of the hospital at all times and shall be acknowledged by the vendor upon acceptance of a contract to be the property of the hospital.
- Vendor shall act as a clearinghouse for electronic claims submission to all major insurance carriers for all facilities owned and provide the following
A. Claim Edit checks before the claim is submitted to the carrier.
B. Edit and error management.
C. Online and on-demand training by user.
D. Online payer enrollment for 835/837 and 270/271 transactions at     minimum.
E. Workers compensation program mapping.
- Vendor must provide the hospital on-line statement viewing, programming and printing of customized statement options, ability to demand reprinting of prior statements and reporting to sender on processed claims.

[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 : Tuesday, 3 March, 2020

Category : Medical Billing and Coding

Country : USA

State : West Virginia

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