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SAMDAILY.US - ISSUE OF FEBRUARY 06, 2020 SAM #6643
SOLICITATION NOTICE

R -- WTCHP Comprehensive Cost Avoidance, Coordination of Benefits, and Recovery Program

Notice Date
2/4/2020 5:57:37 AM
 
Notice Type
Solicitation
 
NAICS
524298 — All Other Insurance Related Activities
 
Contracting Office
CDC OFFICE OF ACQUISITION SERVICES ATLANTA GA 30333 USA
 
ZIP Code
30333
 
Solicitation Number
75D301-20-R-67859
 
Response Due
2/24/2020 6:00:00 AM
 
Archive Date
05/01/2020
 
Point of Contact
Lauren Peel
 
E-Mail Address
ijt9@cdc.gov
(ijt9@cdc.gov)
 
Description
The World Trade Center (WTC) Health Program intends to improve efficiency and control health care costs. �Our purpose is to establish a comprehensive cost avoidance, coordination of benefit, and recovery program by implementing a comprehensive cost avoidance and recovery platform from pre- to post-payment processes. This requirement includes the deployment of a robust and near real-time primary insurance identification system and database, validation and facilitation of the Coordination of Benefit (COB), recovery of incorrectly or inappropriately paid claims from private insurance, participation in New York State (NYS) Workers� Compensation Board (WCB)�s Health Insurance Matching Program (HIMP) to identify individuals who are eligible for WC benefits and to seek reimbursement from WC�s insurers, identification of deceased members, and providing performance metrics, quality assurance and payment integrity services. See�Request for Proposal�(RFP) and attachments.
 
Web Link
SAM.gov Permalink
(https://beta.sam.gov/opp/38264221eb5549bf9d3e017e707fd349/view)
 
Record
SN05551345-F 20200206/200204230135 (samdaily.us)
 
Source
SAM.gov Link to This Notice
(may not be valid after Archive Date)

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