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Contract for medical claims processing


Oklahoma, United States
Government : State
RFP
Download the rfp file: RFP5160000044.pdf.

The Department requests proposals from Third Party Administrators, (TPA), to provide: claims
processing, customer service, utilization management, reporting, a national provider
network in addition to the existing statewide HealthChoice network, fee negotiation for
non-Network providers and facilities out of the State of Oklahoma, a Web portal with selfservice
abilities for members and providers, Health Risk Assessment services as well as
other professional services for its health, dental and life insurance plans offered by and
through OSEEGIB's indemnity health insurance plans known as HealthChoice. This RFP
defines OSEEGIB requirements to qualify a TPA for a contract award and describes
requested TPA services.

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