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MB-2847 - USA (Virginia) - Third Party Administration and Related Services - Deadline March 28,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2847

Government Authority Located in Virginia; USA based organization looking for third party administration and related services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide third party administration and related services to provide claims management and related services for worker’s compensation, first party property, auto physical damage, and automobile and general liability claims,
- Claims investigation and recommended resolution including, but not limited to,
- Compliance with regulatory requirements and filings,
- Payment of medical bills and lost wage benefits,
- Subrogation evaluation and follow-up, based upon the results of the investigation of the claim,
- Workers’ compensation claims within 24 hours of submission, including contact and authorizations to providers, follow-up with the claimant, contact with the reporting supervisor and notification,
- Must limit each adjuster to handling no more than 140 lost time and indemnity workers compensation claims, 250 medical only workers compensation claims and limit nurse case managers to handling no more than 70 claims,
¬- Act as service provider representative on any claim issues or problems,
- Act as liaison between the insurer, adjusters, field staff, medical management providers, medical network, risk management information system.
(2) A preproposal conference will be held on March 7, 2019.
(3) All questions must be submitted no later than March 12, 2019.

[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 : Thursday, 28 March, 2019

Pre-proposal Conference Date : Thursday, 7 March, 2019

Question Answer Deadline : Tuesday, 12 March, 2019

Category : Medical Billing and Coding

Country : USA

State : Virginia

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