Loading...
Skip to main content
< Back to results

Internal Audit Services for Health Claims Recovery Engagement


Location
Maryland
Publication Date
05/10/2019 12:23 PM EDT
Closing Date
05/22/2019 03:00 PM EDT
Issuing Organization
Montgomery College
Solicitation Number
Description

Specifications include, but are not limited to: • Test period: 2018 claims. • There are 1,467 participants in the College’s plan with Cigna. • Approximately $20M was incurred in self-insured medical and prescription costs with Cigna in 2018. • The College maintains self-insured plans with Kaiser and Cigna. The audit scope will include the Cigna claims only. • Cigna will permit up to 300 claims. • Electronic audits are not permitted by Cigna in the College’s agreement. • The work will be performed on-site at Cigna, where needed, as the College does not maintain the claims data. • Strategy for developing the sample plan must address how risks will be identified, data collected, and controls assessed.

Source
https://emaryland.buyspeed.com/bso/external/bidDetail.sdo?docId=MDMCC31044852&external=true&parentUrl=bid (opens in a new window)

Get instant access

Get instant access to solicitation details & future business opportunities.

to solicitation details & future business opportunities.

Get Access

Vendor packages with access to similar open solicitations

Matching bid notifications & access to all Statewide & Group bid details

Statewide

Matching bid notifications & access to all Statewide & Group bid details

Matching bid notifications from participating agencies

Group

Matching bid notifications from participating agencies

Access participating agency bids

Basic

Access participating agency bids