MB-5924 - USA (Pennsylvania) - Third Party Administrator Service - Deadline January 18,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5924

Government authority located in Pennsylvania, USA; based organization looking for expert vendor for third party administrator service.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide third party administrator service for medical health care, claims management, safety, health, environmental, vocational rehabilitation, and loss control services for employees who sustain service connected injuries.
- Improving the quality of health care for injured workers
- Return injured employees to work promptly and safely
- Reduce the City’s work-related injury costs
- Promote confidence and good will in the claims management and medical treatment of injured City employees
- A process for payment of all workers’ compensation indemnity and claims related expenses
- TPA to provide a system to accept notice of claims electronically, telephonically and via facsimile
- Investigate claims to determine injury compensability, applicable benefit type, anticipated medical treatment and expected length of disability
- Index all claimants for multiple claims and possible causation unrelated to the work injury such as an auto accident
- Support medical decisions impacting claims management by maintaining regular consistent contact with nurse case managers to review all open claims and the setting of triggers that prompt immediate review.
(2) A mandatory virtual pre-proposal meeting will be held on January 3, 2022.
(3) All questions must be submitted no later than December 23, 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 : Tuesday, 18 January, 2022

Pre-proposal Conference Date : Monday, 3 January, 2022

Question Answer Deadline : Thursday, 23 December, 2021

Category : Medical Billing and Coding

Country : USA

State : Pennsylvania

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