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open🌐 RFPMart: Medical Billing & Codinghttp://www.rfpmart.com/1182259-usa-ohio-tpa-workers-compensation-services-rfp.html

MB-10531 - USA (Ohio) - TPA Workers Compensation Services - Deadline November 4,2026

Description

(1) Vendor needs to provide TPA workers compensation services.– Provide comprehensive administration, management, consulting, and support services for self–insured Workers' Compensation program• Administration and management of all self–insured Workers' Compensation claims.• Claims review, processing, filing, and documentation management.• Determination of claim compensability in accordance with applicable Workers' Compensation laws.• Benefits administration, including calculation and payment authorization of indemnity and medical benefits.– Medical Management and Return–to–Work Services• Coordination of medical treatment and provider services.• Medical bill review and auditing.• Case management services• Managed care provider coordination.• Rehabilitation and vocational services– Cost Containment and Financial Management• Cost containment and claim cost reduction initiatives.• Subrogation identification and recovery.• Cost allocation review and correction.• Claims payment administration– Investigations, Litigation, and Legal Support• Investigation of potentially questionable or fraudulent claims.• Coordination with legal counsel.– Compliance, Auditing, and Regulatory Support,– Reporting and Data Management,– Program Support and Consulting Services.(2) All question must be submitted no later than October 21, 2026.

Details

Posted
Oct 7, 2026
Response deadline
Nov 4, 2026, 11:59 PM UTC (26d)
Status
open
Jurisdiction
RFPMart: Medical Billing & Coding
Location
Ohio
Has Description
true
Item
MB-10531 - USA (Ohio) - TPA Workers Compensation Services - Deadline November 4,2026 (1) Vendor needs to provide TPA workers compensation services.– Provide comprehe

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