City of Columbus - File #: 1787-2006

• File #: 1787-2006
• Version: 1
• Type: Ordinance
• Status: Passed
• File created: 10/4/2006
• In control: Administration Committee
• On agenda: 10/23/2006
• Final action: 10/25/2006
• Title: To authorize the Director of the Department of Human Resources to enter into contract with Claim Technologies, Inc. (CTI) to provide the City of Columbus an audit of UHC medical claims and Aetna dental claims and to authorize the expenditure of $69,500 that includes all expenses; and to declare an emergency. ($69,500)

Date	Ver.	Action By	Action	Result
10/25/2006	1	CITY CLERK	Attest
10/24/2006	1	MAYOR	Signed
10/23/2006	1	Columbus City Council	Approved	Pass
10/23/2006	1	COUNCIL PRESIDENT	Signed
10/12/2006	1	HR Drafter	Sent for Approval
10/12/2006	1	HR Drafter	Sent for Approval
10/12/2006	1	HR Drafter	Sent to Clerk's Office for Council
10/12/2006	1	CITY AUDITOR	Reviewed and Approved
10/12/2006	1	Auditor Reviewer	Reviewed and Approved
10/12/2006	1	CITY ATTORNEY	Reviewed and Approved
10/11/2006	1	FINANCE DIRECTOR	Reviewed and Approved
10/10/2006	1	HR Drafter	Sent for Approval
10/10/2006	1	FINANCE DIRECTOR	Reviewed and Approved
10/10/2006	1	ODI DIRECTOR	Reviewed and Approved
10/10/2006	1	Finance Reviewer	Reviewed and Approved
10/10/2006	1	Finance Reviewer	Reviewed and Approved
10/5/2006	1	HR Drafter	Sent for Approval
10/5/2006	1	HR Drafter	Sent for Approval
10/5/2006	1	HR DIRECTOR	Reviewed and Approved

Explanation

Background:

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 Aetna respectively; recover overpayments; and ensure plans are administered in accordance with negotiated contracts. 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. Claim Technologies, Inc. (CTI) was selected to provide an audit of medical and dental claims for the period of October 1, 2004 through September 30, 2006 due to its ability to perform a comprehensive audit at the lowest audit fees.

Six vendors responded to the formal RFP. The committee evaluated all candidates using the criteria set forth in Columbus City Code 329.12.

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 Claim Technologies, Inc (CTI). The maximum obligation for this contract will include an audit fee of $69,500 that includes all expenses. Payments will be made from the Employee Benefits Fund in the Human Resources Department.




Title

To authorize the Director of the Department of Human Resources to enter into contract with Claim Technologies, Inc. (CTI) to provide the City of Columbus an audit of UHC medical claims and Aetna dental claims and to authorize the expenditure of $69,500 that includes all expenses; and to declare an emergency. ($69,500)



Body

WHEREAS, it is in the best interest of the City of Columbus to enter into a contract to provide an audit of UHC ...