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Notice Details

Title: Correction: Medicare and QHP Encounter submission
Procurement
NYC Health + Hospitals (NYC H+H)
MetroPlus Health Plan
50 Water Street, 12th Floor, New York, NY 10004
Kathleen Nolan
phone: (212) 908-8600
email: procurement@metroplus.org
Archived
Services (other than human services)
Request for Proposals
8/12/2024
Solicitation

PIN#MHP-1108 Due:

Attachments 2
Description

MetroPlus seeks a vendor to submit Medicare and Qualified Health Plan (QHP) encounter data to CMS. The Plan is looking for a vendor who can not only submit encounters correctly but also identify areas for improvement in MetroPlus data and claims adjudication processes. In addition, the vendor should be able to analyze and value the impact of Plan submission errors and corrections to help prioritize claims for correction and/or re-adjudication.

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