Claims Processing and Management Services Module
Georgia > Department of Administrative Services > Department of Community Health
Original Solicitation Links
41900-eRFP-001835-2027
]claims processing and management services module
41900-eRFP-001835-2027
]claims processing and management services module
Contact
Submission Instructions
Description
The Georgia Department of Administrative Services, on behalf of the Georgia Department of Community Health, is conducting a cooperative competitive down-select from the NASPO Medicaid Management Information System Claims procurement. The selected NASPO ValuePoint-awarded supplier will provide a Claims Processing and Management Services Module through a participating addendum. The SaaS solution must adjudicate, edit, price, and determine reimbursement amounts for Medicaid healthcare claims. The scope also includes the available financial management and financial reporting, member and provider call-center, and federal reporting options. The solicitation package includes the down-select template, claims capabilities matrix, cost proposal workbook, instructions for the cost workbook, participating addendum, and Georgia-required compliance forms.
Classification Codes
Smart Codes
Specifications
Timeline
Requirements
- Workers Compensation
- General Liability — $1,000,000.00
- Automobile Liability — $1,000,000.00
- Technology Errors & Omissions (Cyber Liability) — $15,000,000.00
- Minimum 3 references
- Client point of contact required for each reference
Location
Documents
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