Award
County of Orange Opengov #MA01721010138
Medical and Dental Claims Audit and Operational Assessment
Recipient
Claim Technologies Incorporated
Awarded
July 20, 2020
Identifier
MA01721010138
The County of Orange, California, awarded a contract to Claim Technologies Incorporated to perform a Medical and Dental Claims Audit and Operational Assessment. The scope includes auditing the County's self-insured PPO health plans and dental plans administered by Blue Shield of California, covering approximately 10,200 medical members and 5,474 dental members. The contract involves reviewing claims adjudication accuracy, administrative effectiveness, and operational performance, with on-site audits at Blue Shield's offices in Lodi, California, and International Falls, Minnesota. Deliverables include project plans, reports, and action plans. The contract is a fixed fee agreement with a total cost not to exceed $105,580, effective from August 1, 2020, to July 19, 2021. The buyer is the County of Orange Human Resource Services - Employee Benefits, and the award was part of a Request for Proposal process. The awardee is Claim Technologies Incorporated, based in Des Moines, IA. The contract includes services for claims audit and operational assessment, with detailed provisions on confidentiality, HIPAA compliance, insurance, and other standard terms. The location of performance includes County offices in Santa Ana, California, and audit sites in California and Minnesota.
Description
Contract awarded to Claim Technologies Incorporated by the County of Orange for providing a Medical and Dental Claims Audit and Operational Assessment. The contract term was from July 20, 2020, to July 19, 2021. The contract was part of a Request For Proposal (RFP) process. The award amount is listed as $0. The contract documents are publicly available.