The Vendor is required to provide services for third-party medical plan administration:
• Medical claims repricing/payment/administration
• Direct contracting network development and maintenance
• PPO network access
• Health care management, including:
1. Prior authorization (PA);
2. Utilization review (UR);
3. Large case management (LCM); and
4. Disease management (DM).
• Member advocacy/concierge
• Telemedicine/telehealth/tele doc
• Integrated cost savings solutions
- Contract Period/Term: 3 years
- Questions/Inquires Deadline: April 11, 2025