USA (Michigan) – Medical Bill Review Service

[B] Scope of Service: (1) Vendor needs to provide medical bill review service. - provide a health care review program in accordance with MCL 418.315 of the Workers’ Disability Compensation Act and Health Care Services (HCS) rules.- The vendor is to have a Professional Program in place for medical bills which include:· In-patient hospital care· Total claim medical payments exceed $20,000.00.· Any cases where it is suspected there is inappropriate care taking place.· Medical bills are reviewed by licensed, registered, or certified health care professionals.· The application by others of criteria developed by licensed, registered, or certified health care professionals.· The licensed health care professionals are to be involved to address reconsideration requests from the medical providers.· Any bills with date of service before the date of injury, the vendor is to contact the appropriate Technician directly to confirm the date of injury to assist in processing the payment timely.(2) All the questions must be submitted no later than June 24, 2026.

Onshore (USA Organization Only)

Performance of the work will be offsite.