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MB-6646 - USA (California) - Worker Compensation Third Party Administrator and Managed Care Program Service - Deadline August 24,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-6646

Government Authority located in California; USA based organization looking for expert vendor for worker compensation third party administrator and managed care program service.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide worker compensation third party administrator and managed care program service to administer the county’s self-insured workers’ compensation program effectively and efficiently.
- This program includes new claims and losses arising from incidents first reported by the employee to the county during the term of this contract and all existing claims, including any prior year claims reopened.
- TPA that will reduce the cost and duration of workers' compensation claims, process claims in a timely and professional manner, actively pursue subrogation, help return injured employees back to work, assist with lost time calculations and injury reporting, and maintain strong communications with the injured worker and the county.
1. Medical provider network (MPN)
2. Bill review including negotiation
3. Utilization review (UR)
4. Clinical consultation
5. Nurse case management and nurse advocate services (telephonic and field)
6. Pharmacy benefits management
7. Special investigations and fraud
(2) All questions must be submitted no later than August 1, 2022.
(3) A pre-proposal conference will be held on August 10, 2022.

[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, 24 August, 2022

Pre-proposal Conference Date : Wednesday, 10 August, 2022

Question Answer Deadline : Monday, 1 August, 2022

Category : Medical Billing and Coding

Country : USA

State : California

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