City of Columbus - File #: 1024-2009

• File #: 1024-2009
• Version: 1
• Type: Ordinance
• Status: Passed
• File created: 7/9/2009
• In control: Administration Committee
• On agenda: 7/27/2009
• Final action: 7/29/2009
• Title: To authorize the Human Resources Director to enter into contract with Claims Technology, Inc. to provide the City of Columbus an audit of UHC medical claims and Delta Dental dental claims and to authorize the expenditure of $50,000 from the Employee Benefits Fund, that includes all expenses; and to declare an emergency. ($50,000)

Date	Ver.	Action By	Action	Result
7/29/2009	1	CITY CLERK	Attest
7/28/2009	1	MAYOR	Signed
7/27/2009	1	Columbus City Council	Approved	Pass
7/27/2009	1	COUNCIL PRESIDENT PRO-TEM	Signed
7/16/2009	1	Auditor Reviewer	Reviewed and Approved
7/16/2009	1	CITY AUDITOR	Reviewed and Approved
7/16/2009	1	HR Drafter	Sent for Approval
7/16/2009	1	CITY ATTORNEY	Reviewed and Approved
7/16/2009	1	HR Drafter	Sent to Clerk's Office for Council
7/15/2009	1	EBOCO Reviewer	Reviewed and Approved
7/15/2009	1	ODI DIRECTOR	Reviewed and Approved
7/15/2009	1	HR Drafter	Sent for Approval
7/14/2009	1	FINANCE DIRECTOR	Reviewed and Approved
7/14/2009	1	HR Drafter	Sent for Approval
7/13/2009	1	HR Drafter	Sent for Approval
7/13/2009	1	HR DIRECTOR	Reviewed and Approved
7/13/2009	1	HR Drafter	Sent for Approval
7/13/2009	1	Finance Reviewer	Reviewed and Approved

Explanation

The City of Columbus recently solicited responses to a formal Request for Proposal for a third party medical and dental claims audit: to identify potential claims payment errors by United Health Care of Ohio (UHC) and Delta Dental respectively; recover overpayments; and ensure plans are administered in accordance with negotiated contracts. Six vendors responded to the formal RFP. Employee Benefits and Risk Management conducted an analysis of responses, from local and national companies, to assess their ability to perform an electronic screening and analysis, and a claims administration statistical sample field audit. A number of factors were considered including the companies' fee structure, experience in the audit industry, and reporting capabilities. The committee evaluated all candidates using the criteria set forth in Columbus City Code 329.12.

Claims Technology, Inc. was selected to provide an audit of medical and dental claims for the period of October 1, 2006 through September 30, 2009 due to its ability to perform a comprehensive audit at the lowest audit fees. The company performed the city's audit in 2001 and 2004 and has maintained data to allow for a comparison to this year's audit. In addition, the same team will handle this process this year and Employee Benefits and Risk Management expects an expedient and thorough analysis.

This ordinance is being requested as an emergency measure to expedite the audit.

Contract compliance number is 42-1414040

FISCAL IMPACT: To enter into contract with Claims Technology, Inc. The maximum obligation for this contract includes an audit fee of $50,000 that includes all expenses. Payments will be made from the Employee Benefits Fund (Fund 502) in the Human Resources Department.


Title

To authorize the Human Resources Director to enter into contract with Claims Technology, Inc. to provide the City of Columbus an audit of UHC medical claims and Delta Dental dental claims and to auth...