MB-2616 - USA (Texas) - Workers Compensation Third Party Claims Administration Service - Deadline November 5,2018

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2616

Government Authority Located in Texas; USA based organization looking for expert vendor for workers compensation third party claims administration service.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide Workers Compensation Third Party Claims Administration Service.
- Provide the TPA detailed information related to each new claim and additional information as necessary throughout the life of a claim.
- Shall handle incident-only reports in all lines of coverage.
- Prescription benefit management (PBM) services may be provided by TPA or outsourced.
- The TPA shall designate one individual as the primary contact on items not directly related to specific claims.
- Determine eligibility for and authorize payment of medical benefits, as well as compensation for temporary and permanent disability, utilizing any medical sources or advisory boards as may be deemed necessary and desirable.
- Develop and maintain adequate claim reserves and provide continuous review.
- Monitor the treatment programs recommended for employees by physicians, specialists, and other health care providers.
- Provide narrative or analytical reports of major incidents quarterly, Coordinate claims handling activities, Issue payments on claims, etc.
(2) All the questions must be submitted no later than October 19, 2018.

[C] Eligibility:

Onshore (USA Only)

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Monday, 5 November, 2018

Question Answer Deadline : Friday, 19 October, 2018

Category : Medical Billing and Coding

Country : USA

State : Texas

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