The Department of Labor's Office of Workers' Compensation Programs (OWCP) seeks a contractor to manage its medical provider network and perform medical bill processing. The primary goal is to ensure prompt access to medical care and accurate bill processing for claimants. The selected vendor will facilitate a network of medical providers across the country, process bills from both in-network and out-network providers, and provide customer support and fraud detection.
OWCP aims to improve efficiency, enhance claimant satisfaction, and minimize disruptions in service delivery. To achieve this, the contractor must meet key requirements, including managing provider enrollment, establishing a central mailroom, and implementing robust bill processing workflows. Additionally, they will maintain a call center, ensure compliance with federal security guidelines, and work towards achieving excellent performance metrics.
This procurement process seeks to enhance OWCP's medical care and billing operations, focusing on provider network access and managing out-of-network billing to improve the overall experience. Industry feedback is encouraged to develop strategies and maximize the provider network's usage, especially in rural areas. The contract will be awarded following a comprehensive evaluation process.
Contact emails are provided for interested parties to register for one-on-one sessions with OWCP, with deadlines specified for registration and submission of responses.