Internal Audit Services – Public Health Agency of Canada (PASS SA tool)

Solicitation number 1000183951

Publication date

Closing date and time 2016/10/14 14:00 EDT


    Description

    HC has awarded a contract to a private sector corporation, ESC, to process and adjudicate claims by providers of pharmaceuticals, dental services and medical supplies and equipment to eligible clients. The processing and adjudication of claims were previously being done by First Canadian Health (FCH). After expiry of the FCH contract, the new contractor, ESC Canada, began operations and claims processing activities in December 2009.

    The department seeks assurance that the contractor is undertaking the payment of these claims in adherence to departmental and governmental standards and that the payment errors do not exceed the defined maxima. In response to recommendations from the Office of the Auditor General, HC commissioned a study by Sussex Circle to develop a cost-effective strategy to measure the errors in the payments by the contractors. The recommendations from this study include determining the error rates by conducting an independent assessment of a sample of transactions periodically, which will be based on the controls at ESC and HC.

    The project was initiated to determine the error rate for these payments, establish the error rate and establish an action plan, should the error rate be above the tolerable level according to HC. 

    The objective is to award a contract for two (2) resources (Project Manager/Leader x 1, Senior Auditor x1) tto carry out the procedures described in the error rate measurement frameworks and to report on the results of the procedures without any expression of opinion to help HC to determine the error rates of Health Benefits payments by Express Scripts Canada (ESC).

    Contract duration

    Refer to the description above for full details.

    Trade agreements

    • Agreement on Internal Trade (AIT)
    • North American Free Trade Agreement (NAFTA)

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    Contact information

    Contracting organization

    Organization
    Public Health Agency of Canada
    Address
    130 Colonnade Road
    Ottawa, Ontario, K1A 0K9
    Canada
    Contracting authority
    Gosson, Sean
    Phone
    613-355-9020
    Address
    200 Eglantine Dr
    Ottawa, ON, K1A 0K9
    CA

    Buying organization(s)

    Organization
    Public Health Agency of Canada
    Address
    130 Colonnade Road
    Ottawa, Ontario, K1A 0K9
    Canada
    Bidding details

    Full details regarding this tender opportunity are available in the documents below. Click on the document name to download the file. Contact the contracting officer if you have any questions regarding these documents.

    Tender documents
    Document title Amendment no. Language Unique downloads Date added
    000
    English
    34
    000
    French
    7

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    Summary information

    Notice type
    Request for Proposal
    Language(s)
    English, French
    Region(s) of delivery
    National Capital Region (NCR)
    Region of opportunity
    National Capital Region (NCR)
    Procurement method
    Competitive - Limited Tendering

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