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open🌐 RFPMart: Medical Billing & Codinghttp://www.rfpmart.com/1138260-usa-florida-medicare-advantage-third-party-administrative-services-rfp.html

MB-10292 - USA (Florida) - Medicare Advantage Third Party Administrative Services - Deadline July 21,2026

Description

(1) Vendor needs to provide Medicare advantage third party administrative services. – Provide third–party administration services for the County–sponsored medical and pharmacy fully–insured Medicare Advantage Plan to retired county employees and dependents.– Proposer shall provide a description of administrative services and documentation, including, but not limited to, Plan brochures, member insurance cards, and reports, and shall administer the Plan in compliance with agency specifications and other applicable laws and regulations.– Identification cards for each member at no charge to either the County or the member.– Stable contractual relationships with Practicing Providers.– Case management for complex cases.– Clinical management for members with chronic conditions.– Wellness programs to support sustained and improved health status.– Nurse line to respond to member health inquiries.– Timely and accurate claims processing.– Participate in monthly service calls with the agency and its consultant.– Provide annual experience reports to the agency and its consultant.– Provide a Communication Allowance of up to $5,000.00 on an annual basis that may be used towards communication–related expenses.– Provide an implementation budget of up to $5,000.00 in the first year towards costs associated with implementing a new vendor or revising the eligibility files sent.(2) All the questions must be submitted no later than July 14, 2026.(3) Pre–bid meeting will be held on July 8, 2026.

Details

Posted
Jul 2, 2026
Response deadline
Jul 21, 2026, 11:59 PM UTC (10d)
Status
open
Jurisdiction
RFPMart: Medical Billing & Coding
Location
Florida
Item
MB-10292 - USA (Florida) - Medicare Advantage Third Party Administrative Services - Deadline July 21,2026 (1) Vendor needs to provide Medicare advantage third party
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