San Diego County Ivalua #RFP 1474

San Diego County Awards Section 111 Medicare Reporting Services Contract to ISO Claims Partners, Inc.

The County of San Diego has awarded a contract for Section 111 Medicare Reporting Services for workers compensation claims. - Government Buyer: - County of San Diego, Department of Human Resources and Department of Purchasing and Contracting - Awarded Vendor and OEM: - ISO Claims Partners, Inc. (a Verisk company) - Products/Services Requested: - Section 111 Medicare Reporting Services, including: - Acting as the County's reporting agent for Section 111 Medicare reporting to CMS - Querying and reporting claims, handling Medicare Set-Asides (MSAs), and managing conditional payment reimbursement requests - Data exchange and integration with the County's workers compensation system (Riskonnect/iVOS) - Claim validation, dispute management, training, and customer support - Quantities and Volumes: - Approximately 20,000 claims processed monthly under one RRE ID - About 2,575 open workers compensation claims, with 622 involving Medicare beneficiaries - Unique and Notable Requirements: - Strict IT and data security standards: SSO integration, US-based data storage and support, encryption, SOC 2 and HIPAA compliance - Integration with County identity providers (SAML/OAUTH/WS-Federation), multi-factor authentication, SIEM integration, daily backups, incident response, disaster recovery, and access controls - Accessibility (WCAG 2.1 AA), mobile support, dedicated IPs/URLs using County DNS, and comprehensive documentation and training deliverables - U.S.-only support and data residency, integration with County AWS and MDM (Intune) - Period of Performance: - Initial one-year term with four one-year option periods (potential total of five years) - Place of Performance: - County of San Diego government offices in San Diego, CA - No specific product part numbers or hardware/software OEMs (other than the awarded vendor) are named; requirements are functional and policy-based.

Description

The County of San Diego is seeking proposals from firms interested in providing Section 111 Medicare Reporting Services. The contract term is anticipated to be an initial (base) period of one (1) year with four (4) one-year County option periods. The services involve acting as a reporting agent for Section 111 Medicare reporting related to workers compensation claims. The solicitation includes a pre-proposal conference and a question and answer period for prospective bidders.

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