MB-3123 - USA (Massachusetts) - Workers Compensation Third Party Services - Deadline May 31,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3123

Government Authority located in Massachusetts; USA based organization looking for expert vendor for workers compensation third party services.

[A] Budget: Looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide workers compensation third party services for its Self-Funded Workers Compensation Program and for Police and Fire Injury on Duty claims, considers the primary factors in evaluating proposals to include both price and services.
- All claim payments shall be made with City's funds. Provider will act on behalf of the City in handling, monitoring, investigating, overseeing and adjusting all such actual and alleged claims.
- Provider to handle all Police and Fire Injured On-Duty claims, including obtaining medical authorizations in order to request medical records from service providers and claim closure, either by means of a return to duty or through to an appropriate retirement.
Allocated Claim Expenses will include, but not be limited to, charges for:
1) Independent medical examinations of claimants as authorized by the City;
2) Managed care expenses, which include the services provided by the Provider's managed care program. Examples of managed care expenses includes but is not limited to networks, utilization review, nurse case management, medical bill audits and medical bill review;
3) Fraud detection expenses, such as surveillance, and other related expenses associated with the detection, reporting and prosecution of fraudulent claims, including legal fees;
4) Attorneys, experts and special process servers;
5) Court costs, fees, interest and expenses;
6) Depositions, court reporters and recorded statements;
7) Independent adjusters and appraisers;
(2) All questions must be submitted no later than May 27, 2019.
(3) Contract period will be for three years.

[C] Eligibility:

Onshore (Canada Only)

[D] Work Performance:

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

Expiry Date : Friday, 31 May, 2019

Question Answer Deadline : Monday, 27 May, 2019

Category : Medical Billing and Coding

Country : USA

State : Massachusetts

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