Health Information and Claims Processing Services Tender - 14165960

Procurement Summary

Country: Canada

Summary: Health Information and Claims Processing Services (Ht426-144642/F)

Deadline: 28 Jul 2017

Posting Date: 23 Jun 2017

Other Information

Notice Type: Tender

TOT Ref.No.: 14165960

Document Ref. No.: 390616

Competition: ICB

Financier: Self Financed

Purchaser Ownership: -

Tender Value: Refer Document

Purchaser's Detail

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Tender Details

Reference Number Pw-$$Xf-008-31604Solicitation Number Ht426-144642/Fregion of Delivery Alberta, British Columbia, Manitoba, National Capital Region, New Brunswick, Newfoundland and Labrador, Northwest Territories, Nova Scotia, Nunavut, Ontario, Prince Edward Island, Quebec, Saskatchewan, Yukonnotice Type Notice of Proposed Procurement (Npp)Gsin L004cv: Claims Administration/Processing (Insurance Plans) Trade Agreement Agreement on Internal Trade (Ait) Tendering Procedure All Interested Suppliers May Submit a Bidcompetitive Procurement Strategy Best Overall Proposalprocurement Entity Public Works and Government Services Canadaend User Entity Health Canada Trade Agreement: Agreement on Internal Trade (Ait) Tendering Procedures: All Interested Suppliers May Submit a Bid Competitive Procurement Strategy: Best Overall Proposal Comprehensive Land Claim Agreement: No Nature of Requirements: Health Information and Claims Processing Services Purpose the Purpose of This Notice is to Advise the Industry of the Health Information and Claims Processing Services (Hicps) Requirement for Health Canada (Hc) and the Request for Proposal (Rfp) Publication. 1. Nihb Program Background the Non Insured Health Benefits (Nihb) Program of Hc`s First Nations and Inuit Health Branch (Fnihb) Provides Eligible Registered First Nations and Recognized Inuit with a Range of Medically-Necessary Health-Related Goods and Services Not Provided Through Private Insurance Plans, Provincial/Territorial Health and Social Programs or Other Publicly Funded Programs. These Benefit Categories Are: * Dental Care; * Eye and Vision Care; * Medical Supplies and Equipment; * Drugs and Pharmacy Products; * Mental Health Counselling; * Medical Transportation to Access Medically Necessary Services Not Available in the Community of Residence (Out-Of-Scope for This Contract). 2. the Health Information and Claims Processing Services As with Other Public and Private Plans, the Nihb Program Does Not Provide Direct Services to Clients. It Relies Mainly on Pharmacists, Dentists and Other Health Providers to Deliver Services to Clients. Through the Hicps Contract, the Nihb Program Reimburses Providers or Clients for the Cost of Eligible Services up to the Nihb Maximum Allowable. These Services Are Essential to the Nihb Program`s Ability to Fulfill Its Mandate to Ensure Access by First Nations and Inuit Clients to Needed Health Benefits. the Contractor Must Provide the Health Information and Claims Processing Services and Supporting Systems Detailed in the Statement of Work of the Rfp, which Include: * Requests and Claims Processing, and Settlement; * Provider Enrolment and Communications; * Payment and Financial Operations; * Systems and Services in Support of the Nihb Review Centres; * Provider Claim Verification and Financial Recoveries; and * Data Retention, Collection, and Reporting. 3. Volumeterics in 20...

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 Tender Notice