New York's New York City Health and Hospitals Corporation, MetroPlus Health Plan seeks a contractor to submit Medicare and Qualified Health Plan (QHP) encounter data to CMS. The Plan is looking for a contractor who can not only submit encounters correctly but also identify areas for improvement in MetroPlus data and claims adjudication processes. In addition, the contractor should be able to analyze and value the impact of Plan submission errors and corrections to help prioritize claims for correction and/or re-adjudication . . .

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RFP | July 29, 2024

New York Seeks Medicare & Qualified Health Plan Encounter Submission Services

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