MB-3271 - USA (Texas) - GLOBAL - Third Party Administrator, Workers Compensation, Cost Containment and 504/1305 Network Option Services - Deadline July 30,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3271

Government Authority located in Texas; USA based organization looking for expert vendor for third party administrator, workers compensation, cost containment and 504/1305 network option services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide workers’ compensation third party administrator, provide cost containment services and provide a 504/1305 network option.
- Secure claims-related services on behalf of agency ISD; settle claims, if possible, within the discretionary settlement authority limit; and make recommendations to agency ISD concerning claims that exceed the discretionary settlement authority limit. The TPA will notify agency ISD prior to processing any medical payment equal to $3,000 or greater. The TPA is required to notify agency ISD prior to accepting any impairment rating in excess of 5%.
- Conduct claim investigation as needed in coordination with the Judson ISD staff. This may include interviewing employees and witnesses, reviewing medical records and injury reports.
- TPA shall process claims accurately and efficiently to ensure timely payment to injured worker and/or vendor, identification of any non-meritorious claims and proper resolution and closure of
all valid and reasonable claims, TPA shall coordinate employee return to work activities with the agency ISD employee services staff.
- TPA proposer for this service must clearly state its definitions for Indemnity, Medical Only and Report Only claims.
- Workers’ Compensation Network Services shall include assist the district in notifying employees about the network, initial notification and management notification throughout the utilization of the network, manage medical vendor relations and update district with medical vendor
listing/report monthly, establish a contact person and manage dispute resolution process, identify network priorities in treating the district's injured workers, meet with medical provider to address concerns/issues and any non-compliance with approved provider manual.
(2) All question must be submitted no later than July 23, 2019.

[C] Eligibility:

Global (World-wide);

[D] Work Performance:

Global, companies from all over the world can apply for this. However, Vendor may need to visit client location for onsite meetings.

[E] Proposal Submission:

Proposal can be submitted via Online.

Expiry Date : Tuesday, 30 July, 2019

Question Answer Deadline : Tuesday, 23 July, 2019

Category : Medical Billing and Coding, Global

Country : USA

State : Texas

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