WellPoint Inc. has won a contract to administer the Medicare program in New York and Connecticut, a deal worth up to $323 million over five years, the company announced today.
The Indianapolis-based health insurer will perform key Medicare administrative functions, for its contracts with hospitals, nurses and physicians, including appeals, reimbursement, claims processing, medical review and local coverage determinations.
The contract consists of one base year and four one-year options. WellPoint’s national government services subsidiary will work with MedUS Services to administer the contract.
WellPoint’s subsidiary also was selected by the Centers for Medicare & Medicaid Services to complete projects on rural health clinics, coordinated care benefits and low vision.