open🌐 RFPMart: Medical Billing & Codinghttp://www.rfpmart.com/1148662-usa-california-cobra-and-hipaa-administrative-services-rfp.html
MB-10345 - USA (California) - COBRA and HIPAA Administrative Services - Deadline August 21,2026
Description
(1) Vendor needs to provide COBRA and HIPAA administrative services. – Flexible Benefit Plan and Pre–Tax Commuter Expense Program Administrative Services, Medicare Reimbursement, Anthem Medicare Copayment Reimbursement, united Faculty Copayment Reimbursement, Copayment Reimbursement, and on–going Account Management.• Provide billing services through coupons or monthly invoices.• Provide collection services through check or automatic debit of accounts.• Provide grace period notices for late payments.• Process refunds where applicable.• Process coverage changes where applicable.• Communicate rate and plan changes as required.• Provide toll–free customer service Monday through Friday 8 AM to 5 PM Pacific Standard Time.• Provide open enrollment communication fulfillment services.• Provide monthly reporting for all Qualifying Events, new hire, grace period and termination notices sent.• Support automated processing of termination information via the online system.• Support automated processing of new hire information via the online system.• Support secondary events.• Process all applications for COBRA coverage• Provide daily claims adjudication.• Provide daily reimbursements through debit card, check and direct deposit.• Provide online employee level balance and claims information within five business days ofclaim and/or premium payment.• Provide toll free Interactive Voice Response (IVR) system for balance and claims information.• Provide customer service e–mail address for electronic inquiries with detailed response directly answering the specific inquiry to employee within 24 hours.• Provide website access for downloading and printing forms.• Provide monthly reporting (electronically via Excel, HTML, PDF, TXT).• Provide dedicated account management to retirees.• Provide dedicated account management to employees.• Provide dedicated point of contact for retirees to call.• Provide dedicated point of contact for employees to call.• Provide dedicated customer service team.• Manage discrepancies and auditing.(2) All questions must be submitted no later than August 5, 2026.(3) The contract period will be three years.
Details?
- Posted
- Jul 25, 2026
- Response deadline
- Aug 21, 2026, 11:59 PM UTC (28d)
- Status
- open
- Jurisdiction
- RFPMart: Medical Billing & Coding
- Location
- California
- Reference #
- http://www.rfpmart.com/1148662-usa-california-cobra-and-hipaa-administrative-services-rfp.html
- Has Description
- true
- Item
- MB-10345 - USA (California) - COBRA and HIPAA Administrative Services - Deadline August 21,2026 (1) Vendor needs to provide COBRA and HIPAA administrative services.&
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