To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Rescind Prior Board Action Pertaining to Contracted Services with Availity, L.L.C.
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
RESCIND Board action of October 7, 2025 (C.66), which pertained to a contract with Availity, , L.L.C.; and APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #77-317-6 containing mutual indemnification with Availity, L.L.C., a limited liability company, in an amount not to exceed $1,500,000 to provide electronic claims processing services for Contra Costa Health Plan (CCHP) and Behavioral Health Services Division (BHSD) for the period September 1, 2025 through August 31, 2028.
FISCAL IMPACT:
Approval of this action does not impact the payment limit of $1,500,000 funded 100% by CCHP Enterprise Fund II revenues. (No rate increase)
BACKGROUND:
CCHP has an obligation to provide certain specialized claim processing services for its Providers under the terms of the Individual and Group Health Plan membership contracts with the County. CCHP and BHSD require the most current electronic claims processing services for expedient and accurate claims processing services for reimbursement to CCHP Providers. This Contractor has been providing these services and fostering a deep understanding of the CCHP organization's mission, values, and long-term objectives since March 1, 2021.
This Contract is entered into under and subject to the following legal authorities: California Government Code ?? 26227 and 31000; Health and Safety Code ? 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Contractor currently cooperates with and participates in CCHP's Quality Management Program which consists of quality improvement activities to improve the quality of care and services and member experience. Cooperation include...
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