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Third Party Administrator Services For Self Funded Health Plan
Deschutes County is soliciting proposals from qualified firms to provide third party administrator services for its self-funded employee health plan, which includes medical and vision benefits and may include dental administration. The selected contractor will act as the central administrator and integrator for plan operations, handling claims processing, eligibility management, vendor coordination, reporting, and financial reconciliation. The scope includes daily eligibility processing from the County’s enterprise resource planning system, coordination with pharmacy benefit managers, stop-loss providers, and other vendors, and delivery of comprehensive analytics and reporting. Additional responsibilities include customer service, appeals management, compliance with federal and state regulations, and support for implementation and transition. The County seeks a solution that ensures accurate claims adjudication, efficient member experience, and strong governance across all benefit services. Contracts are expected to support long-term administration with potential extensions.
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# of RFPs: 19
# of RFPs: 19
# of RFPs: 19
# of RFPs: 19

