Specifications include, but are not limited to: The Contractor shall: 1. Possess any and all licensures or certification required by Florida Statutes for the provision of any and all services required in this agreement, and shall maintain such licensures and certifications in current status for the duration of the contract. 2. Possess, and maintain in current status for the duration of the contract, any and all software licenses necessary for all software utilized in the provision of any and all services required in this agreement. 3. Within 10 days of request, provide to the Department copies of any and all necessary licensures or certificates upon request. 4. AT NO TIME ALLOW FOR ANY CLAIMS INFORMATION OR ANY HEALTH, MEDICAL, OR CLIENT INFORMATION TO BE TRANSPORTED, RELEASED, STORED OR OTHERWISE LOCATED OR USED IN ANY MANNER OR MEDIUM OUT SIDE OF THE TERRITORIAL BOUNDARIES OF THE UNITED STATES OF AMERICA. 5. Provide an efficient, secure, and cost effective system that provides for automated claims processing and an up-to-date database from which timely management reports are provided. 6. Accept electronic claims from all County medical service providers that transmit claims electronically. 7. Provide claims adjudication services, to include Run-out claims. Run-out claims shall be those claims received after the official expiration date of the contract period for services prior to the expiration date of the contract. 8. Work in conjunction with Department staff to establish file transfers necessary both to accept automated eligibility data from the Department's three client eligibility database and to provide information to those systems. The systems used by the department are Centricity Practice Solutions, AthenaOne, and Provide Enterprise (Groupware Technologies). 9. Meet the county’s security standards (included in this solicitation as Attachment 2). 10. Send correspondence using approved pre-formatted letters to participants to obtain information necessary to complete the adjudication of claims for services. The content of these letters should be easily understandable by a person not of a medical or insurance background...
