Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5936

Government Authority located in Florida; USA, based organization looking for expert vendor for third party administrator services for performance reviews.

[A] Budget: Looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide third party administrator services for performance reviews claim file reviews and program management reviews for workers’ compensation, property, and liability claims.
- review will look at reporting and communications, staffing (number of files/adjusters), excess insurance reporting and reimbursement and the effectiveness of the prescription program
- propose to review 30 workers’ compensation claims and 20 property and liability claims. The review will consider timeliness and accuracy of indemnity payments, detail of claim notes, return to work documentation, quality and detail of initial contact with injured worker, documentation of reserves, and accuracy of medical bill payment including application of appropriate discounts
- Review 50 claims via internet based access to TPA’s system.
(2) Contract term will be three years.

[C] Eligibility:

Onshore (USA organization Only)

[D] Work Performance:

Performance of the work will be offsite.

Expiry Date : Wednesday, 12 January, 2022

Category : Medical Billing and Coding

Country : USA

State : Florida

RFP Expired

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