MB-3957 - USA (Massachusetts) - Workers Compensation Insurance, Data Conversion and Injury on Duty Claims Service - Deadline April 3,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3957

Government authority located in Massachusetts, USA; based organization looking for expert vendor for workers compensation insurance, data conversion and injury on duty claims service.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide workers compensation insurance, data conversion and injury on duty claims service for consist of claims administration, claims monitoring, medical case management,
utilization review (UR), and case management to and through resolution of all active past, current and future claims, and cases.
- receipt, processing, filing and maintenance of all claim-related forms, reports and notices as required by state law for controlling losses
- utilization review (UR) and verification of all medical services billings, including medications and durable medical equipment
- Administration of claims shall include receipt, processing, filing, and maintenance of all relevant claims, all contact with claimant employees and their legal representatives, all parties involved in treatment and rehabilitation, excluding legal representation
- Develop and recommend a case management action plan for all cases
- Investigate lost time accidents as requested by the Personnel office
- Utilization Review services for all medical treatment related to a work-related injury to include: issue claims cards to injured employees, monitor medical procedures and/or care confirming that they are reasonable and necessary in accordance with established treatment plans, and approve or deny payment to medical care providers pursuant
- adjust each rate to the lowest state rate setting standards or City approved negotiated fees
- return bills and bill analysis forms for payment with appropriate copies within ten business days for disbursement.
(2) All questions must be submitted no later than March 19, 2020.
(3) Contract period will be one year.

[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 : Friday, 3 April, 2020

Question Answer Deadline : Thursday, 19 March, 2020

Category : Medical Billing and Coding

Country : USA

State : Massachusetts

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