Government Contract | Tennessee
MEDICAL CLAIMS CLEARINGHOUSE

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Bid Information


Bid Alert No: 00000430243

Bid Title: MEDICAL CLAIMS CLEARINGHOUSE

Agency Bid No. Title: 34360-60515

Received Date: 12/04/2015

Close Date: 01/05/2016

Purchase Type: Not Stated

Delivery Point:

Delivery Date: Not Stated

Special Notices: L.O.I. Due By 12/07/2015, Questions Due By Optional 12/11/2015 02:00 PM, Bidder Preregistration

Specifications

Specifications include, but are not limited to:The State seeks to secure a contract for medical claims clearinghouse services for the Department of Health to securely and electronically transmit medical claims to insurance companies and to electronically verify patient insurance coverage and eligibility. Electronic transmission of claims to insurance companies will improve the revenue cycle by providing a centralized method for claims submission and eliminating the need to generate claims manually on paper and submit the claims through mail using the postal service. The medical claims clearinghouse arrangement will be used primarily for: Electronic transmission of claims to insurance companies for health care services rendered to patients treated in county health departments operated by the State Department of Health; Electronic eligibility verification of patient insurance coverage (i.e., verifying the patient is eligible with his/her insurance company on the date of service); and Reviewing and filtering the claims against established claim edits to identify any claim errors and provide a means to correct the claim before the claim is submitted to the insurance company. This significantly reduces the number of rejected/denied claims and claims returned for additional information, thereby reducing the days in accounts receivable and improving cash flow for the Department.

Bid Related Documents

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Product Code: 95327

Agency Information


Issuing Agency: State of Tennessee - Department of General Services

State: Tennessee

Agency Type: State and Local

Contact: 312 Rosa L. Parks Avenue, Tennessee Tower, 3rd Floor, Nashville, Tennessee, 37243

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