Government Contract | Pennsylvania
Third Party Administrative Services for Certain Off-site Prison Medical Services

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Bid Information

Bid Alert No: 00000538304

Bid Title: Third Party Administrative Services for Certain Off-site Prison Medical Services

Agency Bid No. Title: Not Stated

Received Date: 04/08/2016

Close Date: 05/06/2016

Purchase Type: 1 year term

Delivery Point:

Delivery Date: Not Stated

Special Notices: Pre-Bid Conference Mandatory 04/15/2016 10:00 AM


Specifications include, but are not limited to:)Required Services- Account management- Electronic receipt and maintenance of PPS housing information- Electronic receipt of payments- Claims subrogation- Coordination of benefits- Fraud prevention services- Claims payment- Overpayment recovery services- Claims administration- Outpatient claim adjudication based on Medicare covered benefits(the Plan)- Inpatient claim adjudication (occasionally) based on Plan benefits and TPA negotiated feeschedules- Administration of claims appeals- High-volume/high-cost provider claims audits- Run-off claims processing- Network management- Provider relations- Provider charge review- Precertification of outpatient facility testing and procedures- Assertive cost containment programs

Bid Related Documents

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Bid Related Attachments

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Product Code: 95327

Agency Information

Issuing Agency: City of Philadelphia

State: Pennsylvania

Agency Type: State and Local

Contact: 1401 JFK Blvd, MSB, Rm 170A, Philadelphia, Pennsylvania, 19102



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