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Tender Notice Dt - Department of Health , J&K

Tender Notice Dt - Department of Health , J&K

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details <strong>of</strong> the scheme as mentioned in the Part I <strong>of</strong> the tenderdocument.(Annexure-2)iii) The Insurer has to provide an undertaking that it will only engageagencies, like the TPA and Smart Card Service Providers, fulfilling thenecessary criteria . The details <strong>of</strong> these agencies shall be provided at thetime <strong>of</strong> signing the MoU with the State Government.(Annexure-3)Note: The qualifying requirements data shall be enclosed with the TechnicalBid only. The bidders who do not fulfill this criterion, will bedisqualified immediately and their bids will not be considered.B. Others:I. Previous Experience with RSBY:If the insurer has any previous experience with running RSBY in anyState(s) they should provide details <strong>of</strong> that in the prescribed format asgiven in Annexure 4 <strong>of</strong> the bid document.In the same annexure the Insurer should also provide a brief write-up<strong>of</strong> their experience with RSBY. The write-up should cover at least thefollowing aspects <strong>of</strong> RSBY:• Coordination with the State Government• Enrolment <strong>of</strong> Beneficiary• Empanelment <strong>of</strong> <strong>Health</strong> Care Providers• Service Delivery to the beneficiary• Settlement <strong>of</strong> claims• Experience with TPA/ Smart card vendor(Annexure-4)II.List <strong>of</strong> Additional Packages for common medical and surgicalinterventions/ procedures:Provisional list <strong>of</strong> packages with rates is attached in Annexure-6 <strong>of</strong> thebid document. The package rates for these have been fixed by the StateGovernment /Nodal Agency. Insurer may provide list <strong>of</strong> additionalpackages for medical and surgical interventions/ procedures withpackage rates as Annexure 5 <strong>of</strong> the bid document.(Annexure-5)32

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