(1) Vendor needs to provide managed care and medical cost containment services for workers compensation claims.– Provide ongoing and retrospective utilization review of medical bills.– Provide Preferred Provider Organization (PPO) discounts for medical services.– Provide data and images of the original bill, attached medical reviewed bills, and EOB completed.– Specific services to be provided include:• Preferred Provider Organization• Bill Review/Utilization Review Program• Precertification of Hospital/Medical Services• Negotiation of Medical Charges• Peer Review• Nurse Care Management• Medical Payment Pass–Through Option(2) All the questions must be submitted no later than January 16, 2025.
↧