Recovery --Q-- administration of health care benefits

RECOVERY - IN COMPLIANCE WITH THE TRANSPARENCY AND ACCOUNTABILITY REQUIREMENTS ASSOCIATED WITH SUPPLEMENTAL APPROPRIATIONS PROVIDED BY THE AMERICAN RECOVERY AND RE-INVESTMENT ACT OF 2009, Pub. L. 111-5, THE GOVERNMENT POSTS THIS NOTICE OF INTENT TO ISSUE A SOLE SOURCE REQUEST FOR PROPOSAL TO SEVEN CORNERS, INC., 303 CONGRESSIONAL BLVD., CARMEL, IN, 46032.

THE PROJECT DESCRIPTION IS AS FOLLOWS:

THIS CONTRACT WILL PROVIDE FOR THE ADMINISTRATION OF THE AMERICORPS HEALTH BENEFITS PLAN FOR THOSE MEMBERS ENROLLED WITH FUNDS FROM THE AMERICAN RECOVERY AND REINVESTMENT ACT. THE ADMINISTRATOR IMMEDIATELY WILL PROVIDE ALL REVIEW AND ADJUDICATION OF CLAIMS SUBMITTED IN ACCORDANCE WITH THE PLAN, PROVIDE HEALTH BENEFITS CARDS TO NEW MEMBERS, MANAGE THE PREFERRED PROVIDE ORGANIZATION (PPO) NETWORK OF MEDICAL PROVIDERS, PAY THOSE CLAIMS APPROVED UNDER THE PLAN, THOSE CLAIMS THAT REQUIRE MORE INFORMATION FOR THE MEDICAL PROVIDERS BEFORE A DECISION CAN BE MADE WILL BE MARKED "PENDING", PROVIDE A MEDICAL MANAGEMENT REVIEW BOARD FOR PRECERTIFICATION OF HOSPITALIZATION OF MEMBERS AND PROVIDE THE MANAGEMENT OVERSIGHT OF MEMBERS ADMITTED FOR HOSPITALIZATION DUE TO EMERGENCY MEDICAL REQUIREMENTS.