DOCUMENT

RFP - Dental PPO 2004

  • YEAR CREATED: 2004
  • ENTITY TYPE: City/Township
  • TYPE OF DOCUMENT: RFP - Request for Proposals
This document is a questionnaire or survey conducted by the City of Glendale. It consists of multiple sections with questions related to different topics. The first section focuses on HIPAA (Health Insurance Portability and Accountability Act) compliance. The questions inquire about the vendor's ability to comply with HIPAA regulations, their current HIPAA EDI (Electronic Data Interchange) status, and their plans for achieving compliance. The questionnaire also asks about the vendor's capability to process electronic transactions using the required medical code sets and whether they are accredited for any HIPAA services. The second section is specific to the vendor's dental plan. The questions in this section seek details about the schedule of benefits, copays (with an asterisk (*) if the copay is for a specialist), benefit limitations, and exclusions. The questionnaire also asks about minimum enrollment requirements, appointment scheduling, continuation of benefits upon participant termination, resolution of problems with the quality of care, patient satisfaction surveys, and handling of ongoing orthodontic treatment with non-contracted providers.
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