X
X

MB-3449 - USA (Tennessee) - Self-Funded Third-Party Administrator and Stop Loss Services - Deadline October 14,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3449

Government authority located in Tennessee, USA; based organization looking for expert vendor for self-funded third-party administrator and stop loss services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide self-funded third-party administrator and stop loss services for administration of its self-insured medical, dental, and vision plan and Medical/RX Stop Loss.
- timely processing of claims
- Advising the Plan concerning the payment of claims
- Data management reporting and analysis;
- Updating the Plan document
- Preparation and printing of employee identification cards and summary Plan descriptions;
- Investigation of unusual or excessive claims.
- All-inclusive administrative fee
- Create complete transparency, which includes full disclosure of PBM Vendors' revenue and
revenue sources related to the plan and clearly defined and auditable pharmacy pricing terms.
- Minimize the cost and rate of future co-pay rate increases.
- Establish performance targets to assess and monitor PBM's performance.
- Maintain network access to a geographically diverse population.
- Financial performance guarantees
- Service level performance guarantees
- Formulary and manufacturer rebates handling and level of reimbursement
- Willingness to guarantee that pricing will be used for all generics and multi-source brands
dispensed for both mail and retail claims
- Third Party Administrator for the City is Health Cost Solutions.
(2) All questions must be submitted no later than October 7, 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.

Expiry Date : Monday, 14 October, 2019

Question Answer Deadline : Monday, 7 October, 2019

Category : Medical Billing and Coding

Country : USA

State : Tennessee

Cost to Download This RFP Document : $ 5

You can either pay for Single RFP/Bid document or Subscribe with Monthly Subscription for whole Medical Billing and Coding Category/Categories.

If you will obtain monthly subscription for Medical Billing and Codingcategory/categories, you will be able to access all the RFPs from that Category. Here are the Monthly Subscription offers. So, subscribe for Monthly offers and get rid of Individual RFP payment.

*No commitment =
(1) There is no minimum commitment.
(2) You can subscribe for as less as 1 month and cancel it any time. If you subscribe for annual offer, you can cancel it any time within year.
(3) There is no partial refund policy after Monthly or Annual subscription. You will be required to use services for a Month (Or Year since you have availed discounted pricing).
(4) You can cancel your subscription any-time directly from your PayPal account to stop further recurring charges before next due date.
(5) You will be able to download all RFPs for subscribed Category or Location without any extra cost.

Similar RFPs