Posted Date : April 08,2021
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : MB-5145
Government authority located in Nebraska; USA, based organization looking for expert vendor for third-party administrator and pharmacy benefit manager services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
(1) Vendor needs to provide third-party administrator and pharmacy benefit manager services for self-funded medical and prescription drug program.
- elf-funded medical and prescription drug plan, to include integrated prescription drug administration or carve out prescription drug administration
- access to a network of qualified providers, including providers serving the high poverty
- claim reports along with quarterly utilization and claim reports
- appropriate claims in a timely manner as determined by the provision of the plan documents, collective bargaining agreements and plan administrative policies/guidelines
- Design, implement and maintain such systems and procedures, consistent with industry standards, utilizing software for the application of GMIS, correct coding initiative and general claims edits, for the appropriate adjudication and payment of all claims for payment.
(2) All questions must be submitted no later than April 20, 2021.
[C] Eligibility:
- Onshore (USA Organization 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: May 12,2021
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-5145
Government authority located in Nebraska; USA, based organization looking for expert vendor for third-party administrator and pharmacy benefit manager services.
[A] Budget: Looking for Proposal
[B] Scope of Service:
(1) Vendor needs to provide third-party administrator and pharmacy benefit manager services for self-funded medical and prescription drug program.
- elf-funded medical and prescription drug plan, to include integrated prescription drug administration or carve out prescription drug administration
- access to a network of qualified providers, including providers serving the high poverty
- claim reports along with quarterly utilization and claim reports
- appropriate claims in a timely manner as determined by the provision of the plan documents, collective bargaining agreements and plan administrative policies/guidelines
- Design, implement and maintain such systems and procedures, consistent with industry standards, utilizing software for the application of GMIS, correct coding initiative and general claims edits, for the appropriate adjudication and payment of all claims for payment.
(2) All questions must be submitted no later than April 20, 2021.
[C] Eligibility:
- Onshore (USA Organization 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: May 12,2021
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$