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Health Benefits Claims Review Services

Administrative Services, Dept United States has Released a tender for Health Benefits Claims Review Services in Infrastructure and construction. The tender was released on Apr 28, 2025.

Country - United States

Summary - Health Benefits Claims Review Services

Deadline - May 30, 2025

GT reference number - 107793625

Product classification - Construction work

Organization Details:

  Address - United States

  Contact details - 565656565

  Tender notice no. - 76454545

  GT Ref Id - 107793625

  Document Type - Tender Notices

Notice Details and Documents:

Description - Description: Objectives The State of Iowa is seeking a proposal from qualified Respondents to provide a fiscal impact analysis/reimbursement model of medical expenditures normally reimbursed by Medicaid for populations for which the State assumes fin ancial liability not currently covered under Medicaid. Our objectives are: ? Reprice medical bills on the Medicaid Fee-For-Service (FFS) fee schedule ? Apply Medicaid claims edits as applicable base on what presents on the medical bill ? Utilizing a managed care model that provides needed services ? Fiscal impact is determined as followed ? Based on SFY 2024 pdf paid claims* (587 credit card transactions and 66 check transactions each of which co

Gt Ref Id - 107793625

Deadline - May 30, 2025

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