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MEDICARE COVERAGE


Location
Washington
Publication Date
11/25/2019 06:24 AM EST
Closing Date
12/13/2019 03:00 PM EST
Issuing Organization
University of Washington, Medicine (UW Medicine)
Solicitation Number
Description

Specifications include, but are not limited to: • Scanning self-pay patients for Medicaid coverage as a secondary safety net. o Contractor shall describe any eligibility screening solutions related to the identification of any and all missed Medicaid coverage. Contractor will provide details on screening methodology as well as a contingency rate associated with accounts billed and paid. • Coordination of Benefits Home per visit may include the following: o Contractor on-site staff will assist patients in the completion of appropriate applications for federal and state assistant programs through at home visits and/or direct patient phone calls. o Contractor assistance shall include follow-up through approval or denial of the application. o Contractor shall refer and pursue eligibility for any subsequent or previous stays to the point of certification or valid denial. o Contractor shall update all account activity on the appropriate Hospital computer services. o Contractor will obtain signed charity forms of self-pay patients with charity application packets as directed by UW Medicine. • Health Insurance Exchange (“HIX”) Open enrollment Full Time Employee“(FTE”) support as required to support operations. o On-site assistance during HIX open enrollment which typically covers a 45-day period annually. This will require the ability to perform open enrollment through the required state, federal or internal tools. o All Contractor staff shall be trained and certified through Washington State as certified Application counselors and Contractor shall ensure that all Contractor staff maintains active and ongoing certification throughout the term of employment with Contractor. • Assistance reviewing Financial Assistance applications as required to support operations. o Ability to provide backup support for Financial Assistance applications. Based on UW Medicine requirements support will include reviewing applications to approve, deny or request more information.

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