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MB-3268 - USA (Massachusetts) - Sections 100 and 111 Consulting and Administration Services - Deadline July 29,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3268

Government Authority located in Massachusetts; USA based organization looking for expert vendor for sections 100 and 111 consulting and administration services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide sections 100 and 111 consulting and administration services.
- Comprehensive claims administration services focused on medical, claims management and legal guidance for all claims, review all medical bills, prescriptions and apply payment in accordance to the state rate setting commission, negotiate fees for injury related treatment and surgery, at the direction of the city, TPA will issue checks or vouchers for all payments, TPA may be requested to recommend policies and procedures for injured on duty and injured on duty retired,   TPA will be responsible for any and all compliance reporting, changes to or amendments to chapter 41 section 100 & 111 and collective bargaining agreements, TPA will as appropriate file liens against third party related injured on duty case, TPA will provide job descriptions and city work capacity forms for all doctor appointments until a return to work full duty is achieved, TPA will work closely with the city; to ensure the medical management of each claim is handled appropriately to reach an end medical result for all claims and TPA will provide utilization review on all IOD claims and nurse case management, if needed.
(2) All question must be submitted no later than July 10, 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, 29 July, 2019

Question Answer Deadline : Wednesday, 10 July, 2019

Category : Medical Billing and Coding, Professional, Consulting, Administrative or Management Support Services

Country : USA

State : Massachusetts

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