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| # | Company | Amount | Rank | Status |
|---|---|---|---|---|
| 1 | L1₹2.9 CrAccepted-AOC | ₹2.9 Cr Quoted ₹1.4 Cr | L1 | Accepted-AOC L1 Bidder |
| 2 | L2₹1.8 CrRejected-AOC | ₹1.8 Cr | L2 | Rejected-AOC L2 Bidder |
| Sl No | Description | Qty | Unit | MDIndia Health Insurance TPA Pvt. Litd. L2 | Medi Assist Insurance TPA Private Limited L1 |
|---|---|---|---|---|---|
| 1.00Lumpsum items for CMAAY/ AB PM-JAY schemes to be quoted per annum | |||||
| 1.01 | Setting up a State Project Office (SPO) at ICR with full team including state coordinator, IT coordinator, claim processing team, doctors etc. Refer Schedule 9 of draft contract. | 1 | Nos | 84,90,234 ₹84.9 L | 10,88,640 ₹10.9 L |
| 1.02 | Professional fee for maintenance of existing website and IT platforms of CMAAY including change request and/or management of customized TMS platform for CMAAY. | 1 | Nos | 19,82,824 ₹19.8 L | 18,00,000 ₹18 L |
| 1.03 | Processing of pre-authorization requests related to the hospitalisation services as per defined packages from EHCPs. Scrutiny and approval of preauthorization requests if all the conditions are fulfilled, within stipulated hours of receiving the preauthorization requests from the network hospitals as per the guideline. | 1 | Nos | 19,14,198 ₹19.1 L | 3,00,000 ₹3 L |
| 1.04 | Processing of claims i.e. scrutinize the bills from the empanelled hospitals (i.e. ensuring charges are as per the package rates) and give approval for the sanction of the bill and forward it to the State Health Agency CMAA Society for payment within 7 working days of receipt of the bills from the empanelled hospitals. | 1 | Nos | 19,14,198 ₹19.1 L | 12,00,000 ₹12 L |
| 1.05 | Fee for setting up of 24x7 Call Centre with a dedicated Call Centre Manager and minimum of 5 Call Centre Executives with ConVox Customer Relationship Management Software. | 1 | Nos | 13,19,393 ₹13.2 L | 12,07,360 ₹12.1 L |
| 1.06 | Management of Information System to ensure free flow of daily MIS & ensure that progress of the schemes is reported to SHA (for CMAAY & AB PM-JAY) in the desired format on a real-time basis. | 1 | Nos | 3,98,791 ₹4.0 L | 2,52,000 ₹2.5 L |
| 1.07 | Providing Medical auditors (a team of doctors and specialists with relevant specializations) for conducting concurrent audits of services delivered and medical facilities available in EHCPs. Claim audits, medical audits and beneficiary audits are conducted as per the stipulated numbers in the agreement-
1. Claim audits- 10 % of total claims of the quarter
2. Medical audits- 10% of total hospitalization cases per quarter.
3. Medical audits- 100 % death audits.
4. beneficiary audit on phone- 10% of total hospitalized beneficiaries in that quarter.
(Other KPI as per ‘Schedule 8’ of draft contract) | 1 | Nos | 7,17,824 ₹7.2 L | 10,20,000 ₹10.2 L |
| 1.08 | Support in hospital empanelment related activities including field verification of the hospitals within and outside the state their training and related activities. | 1 | Nos | 7,17,824 ₹7.2 L | 44,52,000 ₹44.5 L |
| 1.09 | Fee for organizing physical capacity building/training programmes as per guidance by SHA and NHA in all thematic areas (core programme areas, IT tools and platforms, Audit &compliance, operations and management) inclusive of food & refreshment, boarding& lodging, travel, stationary, honorarium for resources person etc.) for a batch of 30 person. | 1 | Nos | 5,98,187 ₹6.0 L | 25,00,000 ₹25 L |
Updated dates
Tender Value
Refer Docs
EMD Value
₹20 L
Closing Date
18 Apr 2026, 5:00 pmClosed
CEO State Health Agency
CEO SHA cum Secretary (Health and FW), 4th Floor, Block III, Civil Secretariat Itanagar
Hiring of management Support Provider for implementation of CMAAY and AB PM-JAY in Arunachal Pradesh
2026_DHS_2978_1
CMAAY-11039/1/2022
Open Tender
Consultancy
Arunachal Pradesh
Please refer Tender documents.
3 documents required · 3 mandatory
₹10,000
CMAA Society
₹20 L
Itanagar
19 May 2026
24 Feb 2026
24 Apr 2026
24 Feb 2026
18 Apr 2026
24 Feb 2026
24 Feb 2026 - 2 Mar 2026
10 Mar 2026
Lumpsum items for CMAAY/ AB PM-JAY schemes to be quoted per annum
Setting up a State Project Office (SPO) at ICR with full team including state coordinator, IT coordinator, claim processing team, doctors etc. Refer Schedule 9 of draft contract.
Professional fee for maintenance of existing website and IT platforms of CMAAY including change request and/or management of customized TMS platform for CMAAY.
Processing of pre-authorization requests related to the hospitalisation services as per defined packages from EHCPs. Scrutiny and approval of preauthorization requests if all the conditions are fulfilled, within stipulated hours of receiving the preauthorization requests from the network hospitals as per the guideline.
Processing of claims i.e. scrutinize the bills from the empanelled hospitals (i.e. ensuring charges are as per the package rates) and give approval for the sanction of the bill and forward it to the State Health Agency CMAA Society for payment within 7 working days of receipt of the bills from the empanelled hospitals.
Fee for setting up of 24x7 Call Centre with a dedicated Call Centre Manager and minimum of 5 Call Centre Executives with ConVox Customer Relationship Management Software.
Management of Information System to ensure free flow of daily MIS & ensure that progress of the schemes is reported to SHA (for CMAAY & AB PM-JAY) in the desired format on a real-time basis.
Providing Medical auditors (a team of doctors and specialists with relevant specializations) for conducting concurrent audits of services delivered and medical facilities available in EHCPs. Claim audits, medical audits and beneficiary audits are conducted as per the stipulated numbers in the agreement- 1. Claim audits- 10 % of total claims of the quarter 2. Medical audits- 10% of total hospitalization cases per quarter. 3. Medical audits- 100 % death audits. 4. beneficiary audit on phone- 10% of total hospitalized beneficiaries in that quarter. (Other KPI as per ‘Schedule 8’ of draft contract)
Support in hospital empanelment related activities including field verification of the hospitals within and outside the state their training and related activities.
Fee for organizing physical capacity building/training programmes as per guidance by SHA and NHA in all thematic areas (core programme areas, IT tools and platforms, Audit &compliance, operations and management) inclusive of food & refreshment, boarding& lodging, travel, stationary, honorarium for resources person etc.) for a batch of 30 person.
Price to be quoted for each unit/event
Enrolment & verification of beneficiary family as per target population under CMAAY/Aadhaar eKYC of entitled beneficiary under AB PM-JAY.
Provide Mobile handsets and pay monthly service charges for CUG connections to all Arogya Mitra and District Programme Coordinators.
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