Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-7204

Government Authority located in Washington, DC; USA based organization looking for expert vendor for workers compensation and injured on duty third party administration service.

[*] Budget: Looking for Proposals

[*] Scope of Service:

Vendor needs to provide workers compensation and injured on duty third party administration service.
- Managed care services, of its employee Workers' Compensation and Injured on Duty Programs
- Provide a comprehensive array of public services which include, for example, public health and welfare, environmental protection, capitol asset maintenance, direct health care (in a State-operated hospital, group homes and a long-term-care facility serving military veterans), law enforcement and security (including the Rhode Island State Police and the State correctional facilities), and regulation, higher education as well as financial management and other administrative support for the agencies
- State employees perform an almost-endless variety of duties and many hold positions in which they are exposed to a significant risk of on-the-job injuries.
- Medical claims administration
- Lost time benefits administration
- Medical provider network and discount services
- Pharmacy network and discount services
- Medical case management
- Timely contact with individual claim stakeholders (injured/ill employees, medical providers, and state department/agency representatives)
- Reserving of expected future claim costs
- Special investigation and anti-fraud services
- Litigation and Legal Services
- Claim Settlement Assessment and Negotiation
- Subrogation Liens
- Medicare Set Aside (“MSA”) Administration
- CMS Management and Reporting
- Return to Work Facilitation
- Timely Case Closure

[*] Eligibility:

- Onshore (US Only)

[*] Work Performance:

- Performance of the work will be Offsite.

Expiry Date : Thursday, 6 April, 2023

Category : Medical Billing and Coding

Country : USA

State : District of Columbia

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