open🌐 RFPMart: Medical Billing & Codinghttp://www.rfpmart.com/1134239-usa-texas-worker-s-compensation-third-party-administration-service-rfp.html
MB-10273 - USA (Texas) - Worker’s Compensation Third Party Administration Service - Deadline July 23,2026
Description
(1) Vendor needs to provide worker’s compensation third party administration service.• Claim files have been imaged since 2005, and all documents are scanned and viewed electronically.• All pre–authorizations and bills, attachments, and explanation of benefits are interfaced with the electronic claims file.• Comply with all Client Service handling instructions and provide proactive claims administration to facilitate the prompt delivery of quality medical care and fair and reasonable claims management• Pay third party vendors within 60 days of invoice receipt and be responsible for payment if invoices are not paid timely• Overpayments/Leakage, Late Payments, and Reimbursement1. Contractor shall timely void indemnity checks and/or issue stop payments on checks to avoid overpayments to employees. Contractor shall bear the cost of any stop payment charges.2. Contractor shall notify the City of all medical and indemnity overpayments, errors and omissions, and leakage because of error, duplicate payments, or unavoidable circumstances. The Contractor shall provide a written monthly report of all overpayments• Contractor shall provide a Pay Category report monthly that specifies payments made to injured employees, and the types of benefits paid, by claim number by City department• Contractor’s system shall interface between the claims management system, bill review and preauthorization functions. The integration shall include both document and data management functionality with the ability to add separate customized fields of data.• Contractor shall maintain daily backup and 24–hour recovery systems for all MIS data in the event of a disruption or system failure.(2) The contract period will be for two years.(3) All the questions must be submitted no later than July 2, 2026
Details?
- Posted
- Jun 24, 2026
- Response deadline
- Jul 23, 2026, 11:59 PM UTC (13d)
- Status
- open
- Jurisdiction
- RFPMart: Medical Billing & Coding
- Location
- Texas
- Item
- MB-10273 - USA (Texas) - Worker’s Compensation Third Party Administration Service - Deadline July 23,2026 (1) Vendor needs to provide worker’s compensation
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