Posted Date : October 17,2018
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : UNCT-7790
Government Authority located in Baltimore, Maryland; USA based organization looking for independent review organization.
[A] Budget: Looking For Proposal
[B] Scope of Service:
(1) Vendor needs to provide medically necessary services Independent Review Organization (IRO) to perform medical necessity reviews for Maryland Medicaid Managed Care Organization (MCO) claim denials to the government authority located in Upper Baltimore, MD.
- Independent review organization to perform case review of denials of payment for medically necessary services delivered by a health care provider to a Maryland medicaid recipient enrolled with and reimbursed by a Maryland medicaid managed care organization.
- Shall maintain all records and documents of each case in accordance with State and federal regulations and grant free access.
- Shall store and retain the case review agreement for ten (10) years.
(2) All questions must be submitted no later than November 14, 2018.
(3) A pre-proposal conference will be held on October 30, 2018.
(4) A contract term will be for five years.
[C] Eligibility:
Onshore (USA 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: November 19,2018
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 : UNCT-7790
Government Authority located in Baltimore, Maryland; USA based organization looking for independent review organization.
[A] Budget: Looking For Proposal
[B] Scope of Service:
(1) Vendor needs to provide medically necessary services Independent Review Organization (IRO) to perform medical necessity reviews for Maryland Medicaid Managed Care Organization (MCO) claim denials to the government authority located in Upper Baltimore, MD.
- Independent review organization to perform case review of denials of payment for medically necessary services delivered by a health care provider to a Maryland medicaid recipient enrolled with and reimbursed by a Maryland medicaid managed care organization.
- Shall maintain all records and documents of each case in accordance with State and federal regulations and grant free access.
- Shall store and retain the case review agreement for ten (10) years.
(2) All questions must be submitted no later than November 14, 2018.
(3) A pre-proposal conference will be held on October 30, 2018.
(4) A contract term will be for five years.
[C] Eligibility:
Onshore (USA 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: November 19,2018
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$