Expert Medical and Dental Officer Services for the Settlement Office of the European Union’s Joint Sickness Insurance Scheme (JSIS) in Luxembourg

Item Description:

The European Commission, Office for the Administration and Payment of Individual Entitlements referred to below as the contracting authority, is planning to award the contract(s) resulting from the above procurement procedure. The procurement documents consist of the contract notice, the invitation letter, the draft contract(s) and tender specifications with their respective annexes. All documents are available in the attached ZIP File.

Call for tenders

The purpose of this call for tenders is to provide the Settlement Office in Luxembourg of the JSIS with expert medical and dental officer services.

This call for tenders is divided into two lots:

Lot 1: Expert medical officer services in Luxembourg

Medical officers are consulted in connection with requests for prior authorisation in all the cases provided for in the regulations and at the request of the Settlements Offices for specific questions. The opinion of the medical officer is a medical opinion delivered on the basis of the medical data relating to the insured person in that officer’s possession, information supplied by the insured person’s own doctor, the results of medical and scientific research and, if necessary, after consulting the Medical Council.

Lot 2: Expert dental officer services in Luxembourg

Dental officers provide opinions after examining the supporting documents in the light of the regulations, e.g.:

• the opinion of the dental officer is required on dental estimates before certain treatments: dental prostheses, implants, orthodontic, periodontal and dental occlusion treatment;
• assigning codes to services referred to on dental estimates, using the nomenclature in force;
• dental officers will consistently help the staff of the Settlements Office to determine the code to be used for charging, based in particular on the wording of legislation and/or the national nomenclature used in the original invoice (e.g. classification of surgical operations, itemising of treatment).

Tenders may be submitted for both lots. Each lot will be assessed independently of the other lot. Tenders which cover only part of one lot or are declared as being conditional on the award of another lot are not permitted.

Download all available documents in: [ZIP]