(USA Michigan) Third Party Billing Services
We are Michigan; USA based organization looking for qualified and expert service provider for Third party web-based billing service that will replace an obsolete billing system currently used to bill Medicare Part A and B.
Type : Tender | RFP
Id : 10489915
Category : Medical Billing
Title :(USA Michigan) Third Party Billing Services
Estimated Budget :Looking for proposals
[A] Scope of Service:
The third party billing service must be:
1) Fully Health Insurance Portability and Accountability Act (HIPAA) compliant including any subsequent updates that are State and/or Federally mandatory which may periodically occur.
2) Fully compliant with Center for Medicare & Medicaid Service (CMS) and American National Standards Institute (ANSI) X12 837 and 835 Version 5010 and National Council for Prescription Drug Program (NCPDP) Version D.
3) Fully compatible with the technical environment.
4) Fully Secured Web-based service.
5) Accessible to the State to allow for verification & corrections of the claims flowing through the billing service, if necessary.
6) Capable to allow both on-demand and scheduled data uploads.
7) Capable of accepting paper submission of claims that cannot be submitted electronically.
8) Able to provide training and support to the State on the billing service.
9) Able to analyze and correct claims prior to submission to third party payers.
10) Able to receive remittances.
11) Able to send a file of all payments back to the State to be used for further billing of first parties.
12) The Contractor must provide a third party web-based billing service that will support an estimated 66,100 claims per year. The monthly average of insurance claims is 5,500 per month.
13) The State will provide the Contractor with a data file or data files that include the information necessary to bill Medicare Part A, B, and D, Medicaid and other commercial Insurances.
[B] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
[C] Eligibility: Onshore (USA)
[D] Budget: Looking for proposals
Interested service providers are requested to submit proposals till April 18, 2011. For more details check attachment.
Country : United States
Posted On :04/01/2011
Price : $16.99 Click here to purchase Buyer contact information
