Medical Claims Services

The State University of New York Upstate Medical University is seeking a vendor to provide independent medical claims services. The agency needs a qualified partner to conduct independent reviews of denied medical claims, taking into consideration all information provided. These reviews must address both medical necessity and diagnosis-related group reassignment. The selected vendor must complete each review and issue a determination within sixty days after the agency submits the claim. All performance of the work must occur onsite. Eligible bidders must be located onshore within the United States. The agency is looking for proposals to determine the budget for this project. Bidders may submit their responses digitally via email or online. No specific evaluation criteria or key dates are provided in the solicitation.