Public Higher Education Bulletin

Modification of RFI opening date and responses to questions from potential respondents. The new opening date will be Thursday, September 11, 2008 at 2:00 p.m.

Following are questions that have been asked by potential respondents:

• Question 1 - Who receives
• Answer - The office of Student Health Insurance receives all hard copy claims. Claims are imaged, tracked and processed in this office. The University maintains both the hard copy and imaged records.
• Question 2 -Who manages subrogations?
• Answer - The Student Health Insurance office handles all subrogations.
• Question 3 -Who manages inpatient pre-certification, medical necessity and utilization review?
• Answer - The University does not have a pre-cert on the plan. All reviews/appeals are first issued through the Student Health Insurance office. Appeals that need to be reviewed further based on plan policy are forwarded to the underwriter.
• Question 4 - What is the staffing model of the UIUC SHIP office (the numbers of staff dedicated to claims, customer service and other responsibilities)?
• Answer - Currently there is a staff of ten. There are three in the front office (customer service), one imaging/claims tracking processor, one re-pricing with PHCS/Multiplan, three claims processors, one in accounts/reporting, and one supervisor.
• Question 5 - When the UIUC SHIP office makes a claims payment, the check/EOB is mailed from the carrier, correct? (This was referenced in the RFI, but we just want to clarify.)
• Answer - Incorrect, all claims payments, checks and Explanation of Benefits are sent from the Student Health Insurance office.

Submit 6 copies of the response as defined in the specifications. Proposal documents may be obtained by contacting the Purchasing Office.