• The selected Respondent must bill all appropriate third-party insurances submitted by MCDPH. The selected Respondent must accept the rate of reimbursement from the insurance company. No copayments will be charged to the client as per public health law. The selected Respondent must not submit a bill to any client for any services nor will the Respondent contact the patient directly. Charges not reimbursed by third party insurance, for any reason will be submitted to MCDPH. Each month the selected Respondent will submit to MCDPH a list of new patient charges not covered by third party insurance. MCDPH holds the right to provide updated insurance information within 75 days of service for possible resubmission by the selected Respondent to the insurance provider. The selected Respondent must not bill the client directly for any uninsured lab services or copayments. • The selected Respondent must provide test results for standard tests within 24-48 hours (turnaround time). Interferon Gamma Release Assay (IGRA) results will be returned within 72 hours. The selected Respondent must also be capable of submitting lab results in an electronic format that allows them to be downloaded into the clinical data system utilized by the MCDPH’s Nursing Services Division. • The Respondent must submit a copy of current full Laboratory Permit from the NYS Clinical Laboratory Evaluation Program (CLEP) with approval to conduct each of the tests outlined in this RFQ. If current permit does not cover all the tests specified, Respondent should also submit a plan to obtain approval for all tests from the NYS CLEP. If any of the tests listed will not be provided, the Respondent should note that as well. The County prefers a single lab to perform all of the tests, but will make separate awards if it is in the County’s best interest to do so.
