Government Contract | Massachusetts
Utilization Review & Bill Review Services

Bid Information


Bid Alert No: 00000425279

Bid Title: Utilization Review & Bill Review Services

Agency Bid No. Title: HRDPSURFY1601-S

Received Date: 11/25/2015

Close Date: 12/18/2015

Purchase Type: Term:

Delivery Point:

Delivery Date: Not Stated

Special Notices: Training Required, Bidder Preregistration

Specifications

Specifications include, but are not limited to: Review the treatment plans submitted my healthcare providers and render a determination, as to the appropriateness and necessity of medical treatment in compliance with 452 CMR 6.00.; Review of inpatient hospitalizations.; Retrospective review of medical treatment that has been completed without UR services.; Perform retrospective review of large dollar hospital/provider bills submitted for bill-audit.; Perform appeal reviews following an adverse determination

Product Codes: 94610, 95327, 94620

Agency Information


Issuing Agency: Commonwealth of Massachusetts - Executive Office for Administration and Finance

State: Massachusetts

Agency Type: State and Local

Contact: Brian Hickey One Ashburton Place, 10th Floor, Room 107, Boston, Massachusetts, 02108

Phone: 617-878-9715

Fax: 617-727-3970

Email: brian.j.hickey@massmail.state.ma.us

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