MB-2885 - USA (California) - Worker Compensation Medical Bill Review, Cost Containment and Check Writing Services - Deadline March 25,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-2885

Government Authority located in California; USA based organization looking for expert vendor for worker compensation medical bill review, cost containment and check writing services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide worker compensation medical bill review, cost containment and check writing services.
- Provide expert analysis of WC invoices for medical treatment including hospital, medical and legal, pharmacy, medical supplies, out-of-state bills and appropriately reducing the bills according to the prescribed rates.
- Maintain an up to date bill review system, fee schedule, PPO Network contract rates, and changes in PPO Network providers.
- Bills should be reviewed and processed within five to ten business days from the contractor’s receipt date, with the exception of provider bills sent via ebilling.
- Review and provide payment recommendation on bills and liens to guide the claims analyst in negotiating or settling any billing issues.
- Establish and maintain a bank account may wire transfer funds for the issuance of the recommended payment of reviewable medical bills, and full payment of non-reviewable WC bills for services provided to injured workers.
- Review wire transfer information from the bank to ensure that funding is available and received before issuance of payments.
- Provide an electronic method for tracking the wire transfer process, check printing, and check mailing.
- Provide with the ability to accept ebilling, in accordance with state regulatory and technical requirements, from service providers who choose to utilize ebilling.
- Provide a formulary program for PBM services that includes the ability to customize the formulary by claimant, employee classification, and drug type.
(2) 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 : Monday, 25 March, 2019

Question Answer Deadline : Tuesday, 12 March, 2019

Category : Medical Billing and Coding

Country : USA

State : California

RFP Expired

You can either pay for Single RFP/Bid document or Subscribe with Monthly Subscription for whole Medical Billing and Coding Category/Categories.

If you will obtain monthly subscription for Medical Billing and Codingcategory/categories, you will be able to access all the RFPs from that Category. Here are the Monthly Subscription offers. So, subscribe for Monthly offers and get rid of Individual RFP payment.

*No commitment =
(1) There is no minimum commitment.
(2) You can subscribe for as less as 1 month and cancel it any time. If you subscribe for annual offer, you can cancel it any time within year.
(3) There is no partial refund policy after Monthly or Annual subscription. You will be required to use services for a Month (Or Year since you have availed discounted pricing).
(4) You can cancel your subscription any-time directly from your PayPal account to stop further recurring charges before next due date.
(5) You will be able to download all RFPs for subscribed Category or Location without any extra cost.

Similar RFPs