DOCUMENT

RFP - Group Medical Prescription Insurance 2004

  • YEAR CREATED: 2004
  • ENTITY TYPE: City/Township
  • TYPE OF DOCUMENT: RFP - Request for Proposals
The document is a Request for Proposal (RFP) for insurance services by the City of Newport News. The document includes a list of requirements and questions for potential insurance providers to address in their proposals. The requirements cover various aspects such as claims payment system enhancements, compliance with HIPAA legislation, network matching for employees and retirees, network status of physicians, reimbursement methods for network physicians, network savings report, network access and administration fees, network management staff, physician and patient satisfaction measurement, coverage for traveling or residing outside the Newport News area, participating pharmacies, mail-order program, quality dispensing, negotiated fee structure with pharmacies, formulary rebate program, generic substitution requirements, utilization review and medical management services, measurable goals of the utilization review program, medical directors and nurses on staff, chronic disease and maternity management programs, quality assessment tools for facilities and providers, reporting requirements, administrative fees, reinsurance policy, and 125% Aggregate Stop Loss Funding arrangement. The document also includes a section for the offeror to identify any deviations from the requirements.
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