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Medicare Part D Claims Processing Services

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State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

AI Contract Overview

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The Medicare Part D Claims Processing Services subcontract, managed by the Illinois Procurement Office, involves the processing and adjudication of reimbursement claims for prime contractors on healthcare projects. The primary focus is the expedition of reimbursement claims for the BPCSS program, which includes verifying claim accuracy against Medicare Part D guidelines and processing final costs for emergency reimbursements. The service provider must possess specialized knowledge of Medicare Part D regulations and maintain strict HIPAA compliance to ensure the secure handling of healthcare data. The final deliverables for this contract consist of processed and adjudicated reimbursement claims and comprehensive final cost reports, with performance centered in Springfield, Illinois.

General Info

Illinois Procurement Office subcontract for Medicare Part D claims processing and adjudication in Springfield.

Agency

Illinois → Procurement Office

NAICS

541219 - Other Accounting Services

Place of Performance

Springfield, IL, 62702, USA

Set-Aside

NONE

Documents

This scope was carved out of B-51473.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

26-444DHS-PROCU-B-51473 | Emergency Final Cost Notice - BPCSS Medicare Part D Reimbursement Claims Processing

AI Contract Breakdown

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Timeline

PostedMar 10

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Organization & Contact Information

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AgencyIllinois → Procurement Office

ContactsNo contacts available

OfficeN/A

Organization / AgencyIllinois → Procurement Office

Office AddressN/A

ContactsNo contact information available

Full Description

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Performs processing and adjudication of reimbursement claims for prime contractors on Illinois Procurement Office healthcare projects. Expedites reimbursement claims for the BPCSS program, verifies claim accuracy against Medicare Part D guidelines, and processes final costs for emergency reimbursement. Requires knowledge of Medicare Part D regulations and HIPAA compliance. Delivers processed and adjudicated reimbursement claims and final cost reports.

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