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MB-5851 - USA (California) - Workers Compensation Claims Management Program Services - Deadline December 28,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5851

Government Authority located in California; USA based organization looking for workers compensation claims management program services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide workers compensation claims management program services.
- The TPA shall provide claims administration services for all existing claims
- The (TPA) shall establish a clear protocol by which Nurse Case Management Services are triggered. Nurse Case Management costs shall be allocated to the involved claim files, not included as part of the agreement administration fee, and subject to the prevailing rates,
- The (TPA) shall make available to the City participation in an established and extensive PPO network. This PPO must provide significant savings below the medical services fees contained within the State of California Official Medical Fees Schedule.
- Shall provide bill review services for all invoices received unless otherwise specified by City.
- Providing documentation for the bi-weekly bill and check register audits
- Utilizing appropriate pay codes for all transactions
(2) A non-mandatory pre-proposal conference will be held on November 30,2021.    
(3) All questions must be submitted no later than December 7,2021.

[C] Eligibility:

Onshore (US Organizations Only)

[D] Work Performance:

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

[E] Proposal Submission:

Response can be submitted digitally via Email or Online.

Expiry Date : Tuesday, 28 December, 2021

Pre-proposal Conference Date : Tuesday, 30 November, 2021

Question Answer Deadline : Tuesday, 7 December, 2021

Category : Medical Billing and Coding

Country : USA

State : California

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