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Third Party Liability Recoveries
The State is seeking proposals to provide the services defined in this Request for Proposal. The goals of this procurement are to identify overpayments or underpayments that may have resulted from inaccurate application of member cost shares and/or provider billing information and recovering overpayments or initiating reimbursement where services may have been under paid. Audits will be performed through reviews of hospital and long term care facility financial and medical records.
