Award
County of Orange Opengov #MA01721010138
Medical and Dental Claims Audit and Operational Assessment
Recipient
Claim Technologies Inc (CTI Audit Solutions Inc)
Awarded
July 20, 2020
Identifier
MA01721010138
The County of Orange, California, awarded a contract to Claim Technologies Inc, located at 100 Court Avenue, Suite 306, Des Moines, IA, for conducting a Medical and Dental Claims Audit and Operational Assessment. The contract involves auditing the County's self-insured PPO health plans and dental plans administered by Blue Shield of California, including plans such as Wellwise Choice, Wellwise Retiree, Sharewell Choice, Sharewell Retiree, and the Management and Attorney Dental Plan. The scope includes verifying claims adjudication accuracy, administrative effectiveness, operational assessments, and compliance with plan provisions for medical, pharmacy (Sharewell only), and dental claims processed during 2019. The audits will be performed at Blue Shield's medical claims office in Lodi, California, and dental claims office in International Falls, Minnesota. The contract specifies deliverables such as project plans, reports, and action plans, with a fixed fee not to exceed $105,580. The contract duration is one year from the effective date, with provisions for confidentiality, HIPAA compliance, and local small business preferences.
Description
Contract awarded to Claim Technologies Inc (CTI Audit Solutions Inc) by County of Orange for Medical and Dental Claims Audit and Operational Assessment. The contract was effective from 2020-07-20 to 2021-07-19. The contract was awarded via a Request For Proposal (RFP). Award amount is listed as $0. The contract includes various professional communication and public relations services related to medical and dental claims audit.