MB-6421 - USA (Texas) - Third Party Claims Administration and 504 Network Program Administrator Service - Deadline June 10,2022

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-6421

Government authority located in Texas, USA; based organization looking for expert vendor for third party claims administration and 504 network program administrator service.

[A] Budget: looking For Proposal

[B] Scope of Service:

(1) Vendor needs to provide third party claims administration and 504 network program administrator service.
- Coordination of quality medical care and medical facilities convenient for use
- Early diagnosis and definition of the compensable injury
- transition and utilize it for all of the existing and future WC claims
- Conduct biannual legacy WC claims review for selected claims that exceed thresholds and/or remain open beyond maximum medical improvement or inactive claims to aggressively pursue their eventual closure
- Provide medical bill review, pharmaceutical review, and utilization review components in their proposal
- Prepare and submit all queries and quarterly reports with respect to both workers’ compensation and liability claims
- Take and retain complete and accurate copies of recorded statements from all lost time injured employees as part of any WC-related investigation
- Maintain personal contact with injured workers who have active, lost time claims at least once every two weeks in order to maintain rapport and monitor medical progress and overall status.
(2) All questions must be submitted no later than May 25, 2022.

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

Performance of the work will be Onsite and Offsite. Vendor needs to carry work in their office location.

Expiry Date : Friday, 10 June, 2022

Question Answer Deadline : Wednesday, 25 May, 2022

Category : Medical Billing and Coding

Country : USA

State : Texas

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