MB-5873 - USA (Texas) - Workers Compensation 504 Health Care Program Manager - Deadline January 13,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5873

Government authority located in Texas; USA based organization looking for expert vendor for workers compensation 504 health care program manager.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide workers compensation 504 health care program manager to ensuring that workers' compensation medical benefits are reasonably available to all injured workers; ensuring that all necessary health care services are provided in a manner that will guarantee the availability of and accessibility to adequate health care providers, specialty care, and facilities; credentialing and re-credentialing of selected providers; providing a list of contract providers, fees, services provided and responses to appropriate questions as required; notification to state of impending termination of providers; management and performance of all subcontractors, products and services provided; Creating, managing, and updating a provider directory, which will be accessible to panel providers and district employees; providing an internal review process for resolving complaints relating to medical benefits, including an appeal to the governing body or its designee and appeal to an independent review organization; establishing reasonable procedures for the transition of injured workers to contact providers and for the continuity of treatment; establishing resolution processes and ways of communicating to injured employees and medical providers.
- Management will include administration and providing a panel of contracted medical providers to provide quality care in accordance with the official disability guidelines and medical disability advisor, with appropriate utilization and return to work.
(2) Pre-Proposal Meeting will be held via video conference on December 7, 2021.
(3) All question must be submitted no later than December 14, 2021.

[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 : Thursday, 13 January, 2022

Category : Medical Billing and Coding

Country : USA

State : Texas

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