MB-4159 - USA (Texas) - Workers Compensation Third Party Administration Service - Deadline June 10,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-4159

Government Authority located in Texas; USA based organization looking for expert vendor for workers compensation third party administration service.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide workers compensation third party administration service.
- The TPA is expected to provide comprehensive documentation for all files; including documentation of recorded statements (or lack of).
- A contribution comment should be placed in all files, regardless of whether it applies or not to ensure that the reviewer understands the issue has been addressed.
- Reserving - comments in the file should include claim facts such as age, pre-existing conditions, previous injuries, and any other problems and conditions that would prolong the claim longer than expected.
- Peer reviews should be obtained prior to accepting new conditions and surgeries that were not in an initial diagnosis.
- Adjusters are to document file activity to bring files to closure and communicate with the insured for any questionable claims to ensure proper handling.
- Subrogation is to be properly documented along with ISO claim search.
- All benefits are to be issued timely within the state allowed deadline to avoid penalties from the state.
- Compensability of claims are to be properly documented in all files.
- Files are to be consistently managed by adjuster and claims best practices are to be adequately applied.
(2) All questions must be submitted no later than May 19, 2020.

[C] Eligibility:

- Onshore (USA Organization Only);

[D] Work Performance:

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

Expiry Date : Wednesday, 10 June, 2020

Question Answer Deadline : Tuesday, 19 May, 2020

Category : Medical Billing and Coding

Country : USA

State : Texas

Cost to Download This RFP Document : $ 5

You can either pay for Single RFP/Bid document or Subscribe with Monthly Subscription for whole Medical Billing and Coding Category/Categories.

If you will obtain monthly subscription for Medical Billing and Codingcategory/categories, you will be able to access all the RFPs from that Category. Here are the Monthly Subscription offers. So, subscribe for Monthly offers and get rid of Individual RFP payment.

*No commitment =
(1) There is no minimum commitment.
(2) You can subscribe for as less as 1 month and cancel it any time. If you subscribe for annual offer, you can cancel it any time within year.
(3) There is no partial refund policy after Monthly or Annual subscription. You will be required to use services for a Month (Or Year since you have availed discounted pricing).
(4) You can cancel your subscription any-time directly from your PayPal account to stop further recurring charges before next due date.
(5) You will be able to download all RFPs for subscribed Category or Location without any extra cost.

Similar RFPs