Government Contract | New York
Third Party Administrator Workers Compensation Claims Services

Find Open Contracts in the Architecture and Engineering Industry

Find Contracts Now

Bid Information

Bid Alert No: 00000465383

Bid Title: Third Party Administrator Workers Compensation Claims Services

Agency Bid No. Title: 2016-WC-01

Received Date: 01/21/2016

Close Date: 02/26/2016

Purchase Type: Not Stated

Delivery Point:

Delivery Date: Not Stated

Special Notices: Questions Due By 01/28/2016 12:00 PM


Specifications include, but are not limited to:Run all loss runs / check registers and/or summary reports monthly, quarterly or as requested. Some reports need to be done manually based on the countys request and data that isneeded. Ad Hoc Requests for annual and quarterly financial reports to be used by the county forinsurance budgeting purposes Review all medical bills & reports to determine whether casually related to the claim, if billedaccording to the NY Workers Comp fee schedule, authorize or deny treatment Bills that are not in accordance to fee scheduled rates are sent to a bill review vendor, at anagreed cost of $5.00 per bill. Audit all mileage reimbursement requests received from the claimants or the claimantsattorney. Prepare & file all necessary forms for hearing: Requests for Hearing (RFA), Pre-hearingConferenceStatement (PH16.2) for denied claims Setup annual Activity checks on the older classified claims using a county approved agency,The Bellerdine Investigative Agency. Review all prescriptions & durable medical supply bills for authorization or denial, which aresent to a pharmacy vendor, Integrated Prescription Solution (IPS) which provides the county witha discounted rate File Public Goods Pool report monthly Request & post reimbursements & or recoveries from medical providers, Special Funds 15-8 &25a; Supplement Reimbursement from Volunteer Fire /Volunteer Ambulance (VF/VAM), ExcessCarrier on claims that have met Self Insurance Retention (SIR). Also, run & provide updatedreports (loss runs) to the Excess Carriers.

Bid Related Documents

Download Document

Product Code: 95327

Agency Information

Issuing Agency: County of Cortland

State: New York

Agency Type: State and Local

Contact: 60 Central Avenue, 3rd Floor, Room 312, Cortland, New York, 13045



FREE Market Analysis

Get a FREE 90-Day Market Analysis and see the bids you’ve been missing