SW-41142 - USA (Arizona) - Claims and Data Management Program System - Deadline March 10,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: SW-41142

Government authority located in Arizona; USA, based organization looking for expert vendor for claims and data management program system.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide claims and data management program system with scalability and flexibility, that will support multiple lines of business on a single platform.
- solution should track client services and process healthcare claims, invoices and encounters using logic that shall apply either Medicaid or contracted rates, dependent on line of business and provider
- implemented solution will contain an array of functionality that include everything a payer organization needs to manage operations and analyze client population, service and finance data
- claims management software is critical to the cost-effective and timely processing of mandated claims, and management and/or payment
- create and implement backup and recovery procedures for short-term outages
- web-based application, including a client-server relationship
- security around the physical installation of client computers
- Microsoft-based system compatibility
- Report detailing patient-level demographic variables and day-to-day authorization/denial data on COE claims.
(2) A pre-proposal conference will be held on February 24, 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.

Expiry Date : Wednesday, 10 March, 2021

Pre-proposal Conference Date : Wednesday, 24 February, 2021

Category : Software, System and Application

Country : USA

State : Arizona

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