The Vendor is required to provide for self-funded medical and pharmacy claims administration services for the healthcare plans covering agency employees and dependents.
- Medical Pharmacy Specialty Rebates
- Network Access Fees
- Fees embedded in capitation rates
- Discount Share
- Qualifying Payment Amount Shared Savings Fee
- Enhanced Personal Health Care (EPHC) program administration
- Clinical Program Claim Related Charges
- Interplan Fees.
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