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MB-3318 - USA (Massachusetts) - Injured on Duty Claims Administration Service - Deadline August 6,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3318

Government Authority located in Massachusetts; USA based organization looking for expert vendor for injured on duty claims administration service.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide injured on duty claims administration service consist of third-party claims administration, claims monitoring, and case management to and through a resolution.
- The services shall include: receipt, processing, filing and maintenance of all claims-related forms, reports and notices for controlling losses; verification of all medical billings and determination of reasonable or city authorized and negotiated rates for payments.
- Protective draft documentation for timely follow-up with physicians and claimants and when requested or necessary, investigation of cases, to reduce exposure and cost; advice on appropriate salary payments for final decision by the city and recommendations for corrective action procedures or guidelines to follow in order to reduce injured on duty claims and costs.
- Service provider shall review alt claimant medical bills. Said review shall include the examination of each bill for causation, appropriateness and medical necessity.
(2) All questions must be submitted no later than July 31, 2019.
(3) Contract term will be three years.

[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 : Tuesday, 6 August, 2019

Category : Medical Billing and Coding

Country : USA

State : Massachusetts

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